Middle Tennessee Recumbent Rally Registration Form

Middle Tennessee Recumbent Rally Registration Form
Starting Location: Recumbent Trikes of Tennessee, 4005 Richard Reeves Dr., Suite I, Murfreesboro, TN 37127

Event Location: Barfield Crescent Park, Pavilion 7, 697 Veterans Pkwy, Murfreesboro, TN, 37129

Rally Date: Saturday, June 20, 2026
Time: 7:00AM - 4:00PM
Participant Details
Full Name

First NameLast Name
Email
example@example.com
Phone Number

Area CodePhone Number
Address

Street Address

Street Address Line 2

CityState / Province

Postal / Zip Code
Emergency Contact Person

First NameLast Name
Emergency Person Phone Number

Area CodePhone Number
Relationship to Emergency Contact Person
Adult T-shirt Size Choose one

SMLXL2XL3XL4XL5XL
T-shirt Color Choose one

Hot PinkAtomic BlueOrangeNeon Green
Registration Payments
Payment Method
Registration Fee - Includes T-shirt, goodie bag, lunch, and evening social
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Rally Registation$45.00
Waiver & Release
I confirm that I am in good shape, health, and condition to ride in the rally.I will follow the rule and regulations of the rally event.I release Recumbent Bikes of Tennessee for any responsibility in case of an accident, illness, or injury.I allow my photo to be taken during the event.
Participant's Signature - use you mouse to sign this area
Date Signed

MonthDayYear
Date
Parent/Guardian Signature (If participant is below 18 years old)
Payment Methods

Fastlane Checkout

Choose from one of the PayPal options to make your payment.

Contact Info

Payment Info
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Middle Tennessee Recumbent Rally Registration Form

Participant Details

Registration Payments

Waiver & Release