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Make checks payable to Mt. Holly "Tour de Rogers" Include $10-15 for each OPTIONAL cool event T-shirt you may want. Amount Included________ $25 per person, children (under 12)$15 Name(s)___________________________________________________ Address___________________________________________________ City______________________ State________ Zip______________ Phone_________________________ eMail_________________________ OPTIONAL T Shirt Size Indicate Number of each ($10 each, $15 for adult XXL and XXXL) Distance Bicycle Option in Miles Check One: 6__ 20__ 35__ 59__ 68__ 100__ Distance Walk/Run Option in Miles Check One: 1.5__ 4__ In consideration of my participation, I agree not to hold any agent, sponsor, or representative of the "Tour de Rogers" liable for any injury or damage, however caused, which may result from my participation. I understand that additional waivers may require my signature on the day of the event. Signature________________________________________________ Signature________________________________________________ Parent/Guardian if under 18__________________________________ Registration & Start is Downtown Bremen in town center, look for tents and signs across RR tracks from first Baptist Church, Bremen.
Parking at the First Baptist Church.
Registration opens at 7:00 am - the Bike Ride starts at 8:00am , and the Walk/Run starts at 8:30am. |