Loop Application Form

The purpose of this application is to "find the loop on Long Island" after completing this form it will be reviewed by a panel of pros to determine whether the applicant is worthy of "being in the loop".
Benefits of being in the Loop are ...
1- List of phone numbers of people in the loop.
2- A phone call whenever a session is going down.
3- Always having someone to ride with.
4- Constant news and information updates.		  
*Required fields - Please fill in every field !
*Name:
*Address:
*Phone Number:
*E-mail address:
*Age:
Years experience:
Areas of expertise:
Dirt Street Vert Ramps
Mini Flatland Racing Chillin
What kind of bike do you own ?
Do you have a drivers license ?
Do you have a vehicle
( other then your B.M.X.) ?
Approximately what percentage
of your friends ride ?
How often do you ride ?
Where is you local riding spot ?
Music preferences ?
Complete this sentence:
Rollerbladers are ....
Who is your favorite rider ?
Name of another person you would like to see in the loop.
If you fall while riding do you ?