Please submit the following information. Thank you. If you have any questions please contact firstname.lastname@example.org First name * Last name * Cascade member number * See your Cascade Courier address label Membership expiration date Not essential. Date of Class you are registering for. * Gender * Male Female Phone number * Best number to contact you. Email address * Please make sure the Cascade email doesn't go to your Junk inbox! Have you cycled on 5 or more Cascade Free Group Rides? * Yes No Please list 5 Free Group Rides by either name of ride and/or ride leader * Ride One Ride 2 * Ride 3 * Ride 4 Ride 5 What pace(s) do you plan to lead? How did you find out about this class? Did a ride leader encourage you to take this class? * Yes No If so, who?