Kids 2 Camp Reservation Ride
May 23rd, 2020
Number of Riders
*
Solo (100 miles per rider)
Team of 2 (50 miles per rider)
Team of 4 (25 miles per rider)
Name
*
First Name
Last Name
Birthday
*
/
Month
/
Day
Year
Date Picker Icon
Gender
*
Phone Number
*
-
Area Code
Phone Number
Email
*
example@example.com
Address
*
Street Address
Street Address Line 2
City
State / Province
Postal / Zip Code
Emergency Contact Name
*
First Name
Last Name
Emergency Contact Phone Number
*
-
Area Code
Phone Number
Shirt Size
*
S
M
L
XL
XXL
Rider #1
Name
*
First Name
Last Name
Birthday
*
/
Month
/
Day
Year
Date Picker Icon
Gender
*
Phone Number
*
-
Area Code
Phone Number
Email
*
example@example.com
Address
*
Street Address
Street Address Line 2
City
State / Province
Postal / Zip Code
Emergency Contact Name
*
First Name
Last Name
Emergency Contact Phone Number
*
-
Area Code
Phone Number
Shirt Size
*
S
M
L
XL
XXL
Rider #2
Name
*
First Name
Last Name
Birthday
*
/
Month
/
Day
Year
Date Picker Icon
Gender
*
Phone Number
*
-
Area Code
Phone Number
Email
*
example@example.com
Address
*
Street Address
Street Address Line 2
City
State / Province
Postal / Zip Code
Emergency Contact Name
*
First Name
Last Name
Emergency Contact Phone Number
*
-
Area Code
Phone Number
Shirt Size
*
S
M
L
XL
XXL
Rider #3
Name
*
First Name
Last Name
Birthday
*
/
Month
/
Day
Year
Date Picker Icon
Gender
*
Phone Number
*
-
Area Code
Phone Number
Email
*
example@example.com
Address
*
Street Address
Street Address Line 2
City
State / Province
Postal / Zip Code
Emergency Contact Name
*
First Name
Last Name
Emergency Contact Phone Number
*
-
Area Code
Phone Number
Shirt Size
*
S
M
L
XL
XXL
Rider #4
Name
*
First Name
Last Name
Birthday
*
/
Month
/
Day
Year
Date Picker Icon
Gender
*
Phone Number
*
-
Area Code
Phone Number
Email
*
example@example.com
Address
*
Street Address
Street Address Line 2
City
State / Province
Postal / Zip Code
Emergency Contact Name
*
First Name
Last Name
Emergency Contact Phone Number
*
-
Area Code
Phone Number
Shirt Size
*
S
M
L
XL
XXL
Back
Next
Waiver
*
I confirm that I am in good shape, health, and condition.
I don't have any medical condition or medical history that will affect my participation in this event.
I will follow the rule and regulations of the Reservation Ride event.
I acknowledge that the Reservation Ride requires physical activity and there are possible risks and danger.
I release the Reservation Ride event organizers for any responsibility in case of an accident, illness, or injury.
I allow my photo to be taken during the event and used for event advertising and marketing.
I confirm that all information in this registration form is accurate and true.
Payment and Donations
All donations go towards the Kids 2 Camp campaign!
Type of Registration
*
prev
next
( X )
Single Registration
$
65.00
Team Registration
$
135.00
Sunglasses
$
15.00
Number of Sunglasses
Donate
$
10.00
Donate
$
25.00
Donate
$
50.00
Donate
$
100.00
Subtotal
$
0.00
Tax
$
0.00
Total
$
0.00
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