2023 Gran Fondo Texas Registration

Name & Contact Info

Participant Name*

First NameLast Name

E-mail*

Address*

Street Address

CityState

Zip Code

Date of Birth*

Date

Phone Number*

Area CodePhone Number

Emergency Contact*

First NameLast Name

Emergency Contact Phone*

Area CodePhone Number

Route you plan to ride:*

31 Miles67 Miles88 Miles100 Miles

Do you plan eating the lunch provided?*

Yes - Meatless MealYes - Hoagie SandwichMaybe - Hoagie SandwichNo

How did you hear about Gran Fondo Texas?*

If applicable, what Texas MS 150 Team are you riding on?

Enter team name

Are you a Team Captain?

Waiver and Release of Liability
All riders and volunteers are required to agree to the waiver & release of liability below in order to participate.

Minor Riders:
A parent or guardian must accompany registrants under the age of 18 to sign the waiver at packet pick up. Parent or Guardian must also register and accompany the minor rider on the ride to be available to provide consent for medical treatment, if circumstances warrant.

By checking the consent box below you are acknowledging that you have read, understand and agree to the waiver and all of its contents.

Refund Policy
As a charity bike ride event, we do not give refunds for event cancellations due to weather or other elements beyond our control.

Click here to read our policy on transfers and deferrals.
March 24 is the deadline for requesting transfers and deferrals.

Note: Jersey Order option of picking up at Packet Pick Up is not available on orders received Black Friday Weekend (Nov 29 - Dec 1) or after Feb 14, 2025.

Date

Payment Info*

2025 Gran Fondo Texas Registration Fee$55.00

Raffle Ticket$20.00

Don't forget - Buy 5, Get 1 Free

Quantity

2025 Gran Fondo Texas Jersey$80.00

Note: Be sure to check the sizing chart. The size indicators are the maximum for the points of measure.

Select Men's or Women'sSelect SizePick Up or Ship?

Donation$1.00

Donation amounts made with registration at tax deductible to the extent allowed as no goods or services are provided in exchange for the donation.

Amount in $

Enter coupon

Total $0.00

Credit Card Details
First Name	Last Name
Credit Card Number	Security Code
Card Expiration

Enter your zip code in the box noted with 12345