Name * First Name Last Name Email * Phone * (###) ### #### Address * Address 1 Address 2 City State/Province Zip/Postal Code Country Emergency Contact Name * First Name Last Name Emergency Contact Phone * (###) ### #### How many years have you been cycling? * Less than 1 year 1 to 2 years 2 to 5 years Longer than 5 years What type of bicycle do you own? * Road Mountain Hybird Fixie / Single Speed Cross / Gravel What is your confidence and experience level when it comes to group riding? * Advanced - Know all the rules, etiquette, hand signals, and comfortable with longer rides 150KM+ Intermediate - Comfortable riding in a group from a fitness/ skills perspective but could use a refresher on rules and etiquette. Beginner - Just start group riding recently and / or interested in getting into group riding. Are you interested in racing with UNC in 2021? * Yes No Want to learn - I'm a beginning to racing Please describe your past racing experience How did you hear about UNC? * If you have been referred by an existing member, who were you referred by? What do you think can be done to make cycling a more Inclusive and Diverse sport? * What social issues or movements are important to you personally? * What have you done to support these movements or create awareness for these issues? * Why do you want to join UNC? * Thank you!