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Adult Bike Classes

After completing this form you will be taken to PayPal to complete your transaction.  Payment must be received for enrollment to be valid.
We apologize for any inconvenience, but Sustaining Memberships and Gift Memberships must be done in separate transactions.

Choose a class type and a class date:
Class:
Class date:*
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Participant's contact information:
First:* Last:*
Address:* Age:*  
City:* State:* Zip:*
Best phone:* Alt. phone:*
E-mail:
I will not hold the PedNet Coalition or it’s staff responsible for accidents or injuries.
Note: If the person registering is under the age of 18, a parent must sign a waiver provided on the day of class.
* Required field


After submitting the Paypal payment, a PedNet staff member will be in touch soon to confirm your enrollment.

 

 

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PedNet Coalition
P.O. Box 7124, Columbia, MO 65205       (573) 999-9894

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