Last Name:

First Name:

College Address:

City:

Telephone:   

E-mail:

In case of emergency contact:

T-Shirt Size:
Small     Medium    Large    Extra Large    XXL

   Race One: Advanced, Male

   Race Two: Advanced, Female

    Race Three: Novice/Open, Male

    Race Four: Novice/Open, Female

   Race Five: Relays, groups by # of riders, 2 man starts 

Type of Bike: Street     Fat-Tire

Relay Team Division Only: Please complete the following

Names of Team members

Relay Team Member 1
Last Name:   First Name:

Relay Team Member 2
Last Name:   First Name:

Relay Team Member 3
Last Name:   First Name:

Additional Team Names:

Thank you for completing our on-line registration. The race coordinator will be in contact with you.