Wildflower: New Rider

Century Registration Transfer to New Rider

For use by a Registered Rider to Transfer their Registration to a New Rider
Part 1: Your Information

Enter Information that Matches Your Existing Registration
Your Full Name*

First NameLast Name
Your Address*

Street Address

Street Address Line 2

CityState / Province

Postal / Zip CodeCountry
Your Phone Number*
Enter the email that is associated with this registration, it must match our records. This email will be used to send you a copy of this form. Please double check that it is correct!
Your Email*
Part 2: New Rider Information

Enter Information for the Person Taking Your Place
New Rider Full Name*

First NameLast Name
New Rider Phone Number*
New Rider Email*
Once this form has been received by the Century Registration Team, a code will be created and emailed to the New Rider using the email address provided above. Double check that the email address is correct.

The code will allow the New Rider to register at no cost to them. It is the responsibility of the New Rider to register for the event.

Email Questions to: century-registration@slobc.org
Submit to Finish

Check Your Entries and Submit the Form.
Should be Empty:

Century Registration Transfer to New Rider