All applicants must complete and submit the entire form
Member Information: (PLEASE PRINT CLEARLY)
Name: _______________________________________________________________________________________
Age as of Dec 31, 2011 : _____________________________ Birth Date___________________________________
Address: ______________________________________________________________________________________
City: ______________________ Province: __________________ Postal Code: _____________________________
Phone Number: _______________________________
Cell Number: ________________________________
Email Address: ________________________________
Emergency Contact Name: _____________________Emergency Phone:___________________________________
Member has a valid UCI OCA license. Yes _______ No _______ License number__________________________
If you were a member of the Wild Bettys inaugural season, what did you like about being a Wild Betty?_________
_____________________________________________________________________________________________
Why do you want to race on the Wild Bettys Race Team?_______________________________________________
_____________________________________________________________________________________________
What type of races would you like to enter in 2011, i.e Ocup, 8 Hour, 24 Hour, etc?___________________________
_____________________________________________________________________________________________
How would your best friend describe you if asked to use only one word? ___________________________________
_____________________________________________________________________________________________
Racing/Riding experience, ie how many years, events you've done etc____________________________________
_____________________________________________________________________________________________
____________________________________________________________________________________________
____________________________________________________________________________________________
What would you tell someone who asked you about the Wild Bettys?_____________________________________
____________________________________________________________________________________________
_____________________________________________________________________________________________
Application Deadline December 15, 2010. Team Roster will be announced December 31, 2010.
- race team members must committ to purchasing a UCI race license and/or compete in 3 or more races in 2011
- successful candidates will be sponsored by the Wild Bettys and be required to proudly wear the Wild Bettys kit provided at all events/races
- race team members will be required to attend our Sign Up and Social on April 26, 2011
- race team members will be required to attend at least 3 Tuesday weekly rides with the Bettys during the 2011 season
- Ideally race team members, and especially those new to racing, should avail of the Steve Neal Performance Wild Bettys Learn to Race Program.
Submit Race Team Application in one of following ways
- on line
- print and fax to (416) 929 3622
- by mail to Wild Bettys, 266 Douglas Drive Toronto, ON M4W2C1
Wild Bettys
266 Douglas Drive
Toronto, ON M4W2C1
All information will be kept private & confidential to the Wild Bettys.