Bike and Hike Registration

Items in Bold are required fields.

Name
Age
(if under 18)
Phone Number
E-mail address
Street Address
City
Zip Code
Register as  Individual $15 ($20 after 4/25)     Family $40 ($50 after 4/25)

 

 I am unable to attend, but here is a donation

 
Family Name
First names
(age if under 18)
Shirt sizes Adult Small   Adult Medium   Adult Large

 

Adult XL   Adult XXL   Child Small

 

Child Medium   Child Large

 
I/We plan to Walk   Run   In-line/Quad Skating   Bike   Other

 

 
Payment

Paypal   Check

 

 

 

 

 

 

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