Sign up for Pedals & Pixels
Full Name
*
Email Address
*
Phone Number
*
Format: (000) 000-0000.
Back
Next
Attendance & Agreements
Select the day(s) you want to attend
*
June 18th: 10:00 am - 5:00 pm
June 19th: 12:00 pm - 7:00 pm
June 20th 12:00 pm - 7:00 pm
Waiver and Consent Agreement
*
Signature
*
Date
*
-
Month
-
Day
Year
Back
Next
Order & Payment
Place Your Order
*
prev
next
( X )
Adult (18+)
(per person/per day)
$
10.00
Quantity
1
2
3
4
5
6
7
8
9
10
Child (6-17)
(per person/per day)
$
10.00
Quantity
1
2
3
4
5
6
7
8
9
10
Child (5 & Under)
(per person/per day)
$
Free
Quantity
1
2
3
4
5
6
7
8
9
10
Payment Details
First Name
Last Name
Credit Card Number
Security Code
Card Expiration
Register
Should be Empty: