Morse Lake Metric 2015 Mail-in Registration Form

May 17, 2015

Registration Form Required For Each Rider

(Walk-ons welcome! On-site registration is available day of ride)

 

Last Name:
First Name:
   
Address:
   
City:
State:
Zip Code:
Phone Number:
Age:
   
E-Mail Address:
   
MLM Distance
17 Miles
25 Miles
40 miles
Combine loops to customize your distance - check all that apply

(Distances are approximate)

ALL RIDERS MUST SIGN A WAIVER AT REGISTRATION ON THE DAY OF THE RIDE.

 

Pre-Registration Fee

   
Morse Lake Metric
Individual Rider (Includes T-Shirt and lunch; Riders under 6 free, but no T-Shirt.)

 

$30.00

 

 

YL • S • M • L • XL • XXL +$2

I do not want a t-shirt. Please consider the cost of the shirt a donation.

If no size is indicated, XL will be supplied.

T-Shirts will not be mailed

 

Family Rate (Immediate Family Only & includes 2 T-shirts and lunch for all riders)

Names of additional family riders:

Morse Lake Metric

$65.00

 

 

 

YL • S • M • L • XL • XXL +$2
 

YL • S • M • L • XL • XXL +$2

I do not want a t-shirt. Please consider the cost of the shirt a donation.

If no size is indicated, XL will be supplied.

T-Shirts will not be mailed

     

Additional T-shirt (T-shirts will not be mailed)      
YL • S • M • L • XL • XXL +$2
$10.00
       
TOTALS  
       
GRAND TOTAL ENCLOSED    
       
On-site Registration Fee (T-shirt/lunch not included - lunch can be purchased for an additional $5.00) $30.00    

 

Make checks payable to : WRS Bike Rallies

All entries must be received by May 10th (MLM). A $5.00 cancellation fee will be charged. No refunds will be given after May 10th (MLM). One person per form (photocopies are acceptable). Please mail this form with your check or money order to:

WRS Bike Rallies

8965 Jaywick Dr. Apt. 206

Fishers, IN 46037

 

Or - Register online!