Yes No

I have read the contest official rules. (click here to read the official rules).

Yes No

I AGREE to the Official Rules.

* all fields are mandatory unless marked optional.

First Name:

Last Name:

Email:

Phone:

Gender:

Male Female

Town/City:

State/Province:

Country:

Canada US UK Other

If other, please specify :

Postal/Zip code:

Were you 19 years or older on April 15, 2009? Yes No

Your gross household income: (optional) under $50K $50 - $100K over $100K

Years mountain biking:

Number of days per week that you ride:

Have you ever participated in a mountain bike camp?

Yes No

Brand(s) of bike(s) you own: (press ctrl+click to select more than one)

Discipline: (Please select all that apply) Cross Country Freeride Downhill BMX Road

In the last 2 years have you taken an overnight trip (60 miles/100 km or more) to go mountain biking? Yes No

If yes, where was your most recent trip?:

	Country	State/Prov	Destination	Duration
1.	If other, please specify :	If other, please specify :	If other, please specify :

Have you ever ridden in a lift-access bike park? Yes No

If yes, (press ctrl+click to select more than one)

Where did you hear about this year's Ultimate BC Road Trip contest? Select all that apply.

(press ctrl+click to select more than one)

please specify other:

How likely are you to take a trip of 1 or more nights in BC that will involve mountain biking in the next 12 months?

Very likely Somewhat likely Not very likely Not at all likely Unsure

IMPORTANT - Skill testing question: Name any 3 of the 5 Mountain biking destinations that make up Bike Parks BC.

Yes No

May we contact you regarding future Bike Parks BC promotions using the information you have provided?

Yes No

May MMR Camps contact you regarding future promotions using the information you have provided?

We would like to thank our sponsors: