Registration

INSTRUCTIONS:

Please complete the Form below and click on the Register Now! button.
- You will receive a copy of the form by Email
--- You can print the form and send via US Postal service with a check or money order. Instructions are printed on the form.
- Or, you will be given the option to pay online using PayPal (you need to create an account) or credit card.
- Registration Fees are Rider/Driver = $35 each, and Passengers = $30 each.
- Either way you will receive a copy of the Form by Email
Thank You for your Support!
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Another method of Registration is to complete the Form online and print and mail.
Click HERE.

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DRIVER INFO
Name of Rider/Driver: (required)Email: (required)Address: City: State: Zip: Phone:

Driver T-Shirt:

Type of Registration:

RIDE INFO
 Register A BikeMake: Year:

 Register A CarMake: Year:

  PASSENGER INFO
Passenger #1 Name: Passenger #1T-Shirt: Type of Registration:
Passenger #2 Name: Passenger#2 T-Shirt: Type of Registration:
Passenger #3 Name: Passenger #3 T-Shirt: Type of Registration:



REGISTRATION INFO

I will be Registering At:
(Your SIGNED participant release form will be required
at check-in. You can download the form here!)