* 1. What is your name? (first name, last name)

* 2. What grade are you in?

* 3. Where do you go to school?

* 4. Primary phone number?

* 5. Why are you interested in the Major Taylor Ride Club (two or three complete sentences)

* 6. Are there any other extracurricular activities you participate in?
Please include the time(s) you are committed to those activities.

* 7. Will you be able to attend all ten meetings?

* 8. Do you have access to transportation?

* 9. Do you know how to ride a bicycle?

* 10. Do you own (or have access to) a bicycle?