Registration Form
** All fields are required **
Team Name:		Your Name:
Team Captain:		Email:
Address:		City, State & Zip:
Phone:	(XXX-XXX-XXXX)	Age:
Date of Birth:		Sex:	Male Female
T-Shirt size: S M L XL XXL
Race Categories: Solo Men & Women - $50 entry fee + $250 in donations. 2 person team: open - $75 team fee + $250 in donations per rider. 3 person team: open - $125 team fee + $250 in donations per rider. 4 person team: open - $150 team fee + $250 in donations per rider.
NEW THIS YEAR - KIDS RIDE (14 and under) (4 mile loop) Solo $35 entry fee 2 person team: open - $60 team fee 3 person team: open - $90 team fee 4 person team: open - $120 team fee
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A Nonprofit Foundation in Partnership with Natalie's Wish & The Cystinosis Research Foundation