Cycling Academies - Online Inquiry

Athlete's Personal Information

Name *

First Name Last Name

Date of birth *

Month Day Year

Age

Gender *

Nationality

ID *

Phone Number *

Area Code Phone Number

E-mail *

Athlete's additional information

Mother Tongue *

Communication Language *

Program (Preferred Days and Times)

Blood Type

Number of Siblings

Hobbies

Parent's Details (for athletes younger than 18 yeas old)

Relation with athlete *

Name *

First Name Last Name

Phone *

Area Code Phone Number

Email *

Occupation *

Parent's Consent

Photos posting *

I, the parent / guardian of the above named athlete give my consent to Lifemotions athletes support to post photos of my son/daughter to the social media and the website of Lifemotions

Participation *

I, the parent / guardian of the above named athlete give my consent for my son / daughter to participate in cycling competitions