Category: Solo $75 Tandem $150 Two Person Team $150 Two Person Corporate Team $150 Four Person Team $300 Four Person Corporate Team $300 Tandem Team $350 Team Name
NOTE: Teams must complete an entry form for each team participant.
Name Address City State OREGON ALABAMA ALASKA ARIZONA ARKANSAS CALIFORNIA COLORADO CONNECTICUT DELAWARE DC FLORIDA GEORGIA GUAM HAWAII IDAHO ILLINOIS INDIANA IOWA KANSAS KENTUCKY LOUISIANA MAINE MARYLAND MASSACHUSETTS MICHIGAN MINNESOTA MISSISSIPPI MISSOURI MONTANA NEBRASKA NEVADA NEW HAMPSHIRE NEW JERSEY NEW MEXICO NEW YORK NORTH CAROLINA NORTH DAKOTA OHIO OKLAHOMA OREGON PENNSYLVANIA PUERTO RICO RHODE ISLAND SOUTH CAROLINA SOUTH DAKOTA TENNESSEE TEXAS UTAH VERMONT VIRGIN ISLANDS VIRGINIA WASHINGTON WEST VIRGINIA WISCONSIN WYOMING Outside of U.S. Zip Phone Email
Gender: Male Female Date of birth (MM/DD/YY) T-Shirt Size Small Medium Large X-Large
Release of Liability (read it here) I hereby certify that I have read the Accident Waiver and Release of Liability and, I understand its content.
If you are under 18, a parent or guardian will need to fill out this form and mail it in, or you can bring it to the race.
General Questions or comments