Enrollment Form

Select whether you will you need lodging while attending the programs that you want to attend:

Please visit our BBI-Lodge page if you need more information.

If lodging is needed, will you require lodging to begin on a different date than the night before the first class day?

If yes, select check in date:

If lodging is needed, will you require lodging to end on a different date than the morning after the last class day?

If yes, select check out date:

If lodging is needed, will you have one or more bicycles with you? (requires $200 damage deposit - fully refundable)

You can reserve a space with a Visa or Mastercard by phone (719-632-5173). Or, supply the requested information below, then
click the CREATE FORM FOR PRINTING button (bottom of this page) to create a printable enrollment form to mail or fax us.

Name:
Address:
City:	State/Province:
Country:		Zip/Postal code:
Daytime Phone:	Evening Phone:
Email:

Select below whether you already own a Barnett's Manual DX CD (or 5th Edition):

If not, would you like us to have a DX CD waiting here for you?
($120 plus tax)

Or, if not, would you like one shipped to you before class?
($120 plus postage - not processed until reservation accepted)

Check box next to each program in which you wish to enroll AND select a date for each checked program:

Bicycle Assembly & Maintenance ($220 reservation charge)
Spoked-Wheel Lacing (no reservation charge required)
Bicycle Repair & Overhaul ($385 reservation charge)
Effective Sales of Service (no reservation charge required)
Managing the Service Department (no reservation charge required)
Suspension Service & Tuning ($145 reservation charge)
		($100 reservation charge required)

Would you like your name given to other students for ride sharing to/from Colorado Springs?

If your employer or other organization is paying all or part of your tuition, please fill out the following:

Employer/organization:

Contact person:

Address:

City: State/Province:

Zip/Postal code: Country:

Contact phone: Contact fax #:

Briefly describe your education and/or current career.

Select the options below that most closely reflect your mechanical experience (bicycle or non-bicycle).

Home bicycle: Bike shop: Non-bicycle professional:

What do you primarily hope to achieve through taking this class?

Select the below options that best describe your cycling experience.

To help us reduce the amount of automated junk mail we receive, please enter the code 123BBI (case sensitive) in the box below.

Click CREATE FORM FOR PRINTING button, then print the page that is created. You are NOT making
a reservation by clicking this button. You can reserve a space with a Visa or Mastercard by phone
(719-632-5173), or simply print the enrollment form and follow the instructions at the top of page 1.