Registration Form #1 - Northern Neck RiverRide

Registrant #1 Information - (one person per form - registration limited to 500 cyclists)
Name
Address
City State Zip/Postal Code
State Or Province for non-US Resident Country
Email
Phone Day Phone Evening
Age
Gender Male Female
I am a vegetarian
I am a registered non-rider and will drive a vehicle on the tour from town to town.
I understand that I will not be able to drive along the biking route.

Emergency Contact
Emergency Contact Emerg. Phone

Is this person on the tour? Yes No

T-Shirt
Size SM MED L XL XXL($2 extra)

Accommodations
I will camp
RV
hotel or B&B
not need overnight accomodations

Volunteering
Please send information about volunteering
for a few hours on the RiverRide

Route
Please indicate your anticipated Saturday route: Family Ride (~10)
Quarter Century (25)
Half Centry (50)
Metric Century (62)
English Century (100)

Registration Fees

Adult (18/older) $50
Current BikeWalk Member $40
Adult plus new BikeWalk Membership
(Annual membership regularly $25) 		$65
Teen (13 – 17) $30
Youth (7 – 12) $15
Child (6 and under) Free
Non-Rider $20
RV / Trailer parking pass $10
Lunch (FREE) FREE
LATE FEE - (After August 26, 2008)
(no late fee for Child 6 and Under)		 $15
TOTAL $.00