Registration- old non form

Registration deadline is June 21st 2012!

Your $200.00 registration can be paid by the following:

1)      Personal check:

Full Moon Vista Productions / WCR

661 South Ave Rochester NY 14620

2)      VISA / MASTERCARD: Call Full Moon Vista @ 585-546-4030

3)      PayPal

 

We also need two additional items:

1)      Your jersey size

2)      Your information

Name_______________________

Address________________________________________________________

Phone_________________________

Email____________________________

Emergency Contact__________________________________

Allergies, Medical Info, Special Needs___________________________

 

Registration – riders must check in each morning of the ride:

At the Carriage House in Sonnenberg Gardens.

Registration schedule as follows:

            SATURDAY, SEPTEMBER 15th

100 mile ride (6:30a.m. to 7:15a.m.)

30 mile ride (7:45a.m. to 9:15a.m.)

15 mile ride (8:45a.m. to 10:15a.m.)

            SUNDAY, SEPTEMBER 16th

60 mile ride (6:30a.m. to 7:15a.m.)

30 mile ride (7:45a.m. to 9:15a.m.)

15 mile ride (8:45a.m. to 10:15a.m.)

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