(Please fill in all that you can * fields are required)

Step 1: Registration form

*Name:           

Mailing address:
*Street:           
Second Line:    
*City:              
*State:                 *Zip Code

*Email address:

*Daytime Telephone Number: (in case we have a question about your signup)

 Fax number:

Age: (Riding participants must be 14 years or older. Riders under 18 must be accompanied by a guardian.)

Your Wenzel Coach (if applicable):

Number of years/months riding: Choose one 1-2 years 2-3 years 3-4 years 5+ years 10+ years Less than one year

Riding experience: Choose One Infrequent 1-2 days per week 3-4 days per week 5-6 days per week Every single moment I can! Not Sure

Racing experience: Choose one Never have, never gonna race Never have race, might consider it Never have race, definitely want to Have raced once or twice, want to do more Have a half season or more racing under the belt

Skill level/comfort. Rate from 1 to 5, with 1 being uncomfortable, 5 being most comfortable:

Group riding:               Choose one 1 2 3 4 5
Cornering:                   Choose one 1 2 3 4 5
Standing on the bike:   Choose one 1 2 3 4 5
Climbing:                    Choose one 1 2 3 4 5
Time Trial starts:         Choose one What is a time trial start? 1 2 3 4 5

How did you find out about this clinic? Please choose one A friend recommended Wenzel Coaching I saw a print ad in an magazine or newspaper I saw a flier in a shop I saw a print ad in a local cycling mag or newsletter I linked here from another cycling site I linked here from a banner ad Saw an article in a cycling mag written by a Wenzel Coach My club is sponsored by Wenzel Coaching

 Comments: 
                

*Clinic choice:
Choose one Individual weekend - both days: $140 Friend signup weekend - both days: $130 Group signup - weekend - both days: $120 Team Dobbiaco Group signup - both days. Contact for pricing. Individual - one day, Saturday: $75 Friend signup - one day, Saturday: $70 Group signup - one day, Saturday: $65 Individual - one day - Sunday: $75 Friend signup - one day, Sunday: $70 Group signup - one day, Sunday: $65

Name of friend for friend sign-up: 
(If you get a friend to sign up after you've signed up at the regular rate, we'll pay the difference back to you when you both come to the clinic! If you have more than one friend, consider finding two more so that you can sign up as a group!)

Name of group for group sign-up:  
(Group sign-up must be approved by Wenzel Coaching office before submitting registration. Each participant needs to fill out a separate sign-up sheet.)

Additions:

Add a copy of the book Bike Racing 101 to your sign-up for only $16 ($2.95 off the list price). We'll bring a signed copy to you at the clinic.
Add a copy of Bike Racing 101: yes no  

Add a bike fit by Tom Coleman of Wobble-naught (Bike fittings and EMG analysis will be schedule throughout the weekend. Appointments during the weekend will be listed at the day's registration table.)
Add Wobble-naught bike fit or pedal analysis: No thanks Wobble-naught bike fit: $75 EMG Pedal Analysis: $100 Wobble-naught bike fit with EMG analysis: $175

After you submit this form you should see a confirmation page leading you to a page to download the payment form and release. If you are not routed to a confirmation page or you do not receive a reply within 48 hours of your registration, please contact us immediately!

If you receive a confirmation page but are not directed to a payment page, please go to www.wenzelcoaching.com/clinic_payment.htm