Tuition Payment Form Elgin BMX League Enrollment - Multiple Payment Methods Who Is the Rider?*Select...4-15 Year Old25-OverRider First Name* Rider Last Name* Address* Street Address Address Line 2 City AlabamaAlaskaAmerican SamoaArizonaArkansasCaliforniaColoradoConnecticutDelawareDistrict of ColumbiaFloridaGeorgiaGuamHawaiiIdahoIllinoisIndianaIowaKansasKentuckyLouisianaMaineMarylandMassachusettsMichiganMinnesotaMississippiMissouriMontanaNebraskaNevadaNew HampshireNew JerseyNew MexicoNew YorkNorth CarolinaNorth DakotaNorthern Mariana IslandsOhioOklahomaOregonPennsylvaniaPuerto RicoRhode IslandSouth CarolinaSouth DakotaTennesseeTexasUtahU.S. Virgin IslandsVermontVirginiaWashingtonWest VirginiaWisconsinWyomingArmed Forces AmericasArmed Forces EuropeArmed Forces Pacific State ZIP Code Your Phone* Your Email Address* Rider Age* What Name Should Our Coaches Call Your Rider?* Some Michaels are "Mikes," not a space for nicknames like "Boomer," etc. Also: no last names.Birthdate* MM slash DD slash YYYY Rider Height* Rider Shirt Size*Select...Youth XSYouth SmallYouth MediumYouth LargeAdult SmallAdult MediumAdult LargeAdult XLAdult 2XLAdult 3XLParent/Guardian Name* Parent/Guardian Phone* Parent/Guardian Email* What Bike Will You Use?*Select...My Own BikeLoaner BikeWhat Helmet Will You Use?*Select...My Own HelmetLoaner HelmetDid this rider participate in any 2024 League season?*Select...YesNoPrevious Bike Number (if known)
