Wabash River Ride

  • Rider Registration $15 if postmarked ON or BEFORE August 3rd, 2008 $20 thereafter.
  • T-Shirts $12 if pre-registered, $15 day of ride (size 2XL and 3XL add $2)
  • One child (age 16 & younger) free with each adult registration.
  • Additional children $3.

Register for the Wabash River Ride

Please complete the information below and click "Send" which sends your registration to the WRCC. After the send, the payment process will be displayed.

If you do not wish to register online (or have difficulties doing so) you may send your registration form to: Wabash River Cycle Club, PO Box 1243, Lafayette, IN 47902-1243.

Rider Registration $15 if postmarked ON or BEFORE August 3rd, 2008 $20 thereafter.
Rider Registration
Name
Age
 Ride Fee T-Shirt Size T-Shirt Fee Total $ Per Line
No confirmation will be sent.      Sorry no refunds.      Grand Total $
Contact Information

Your mailing address
Street:
City, state zip:

 
Telephone:
Email:
Emergency Contact
Name:
Telephone:
* Release of organizers and sponsors: In submitting this form for myself or the below named participant(s) (if under age 18), I understand and agree to absolve all of the sponsors, organizers and Dayton United Methodist Church, be they individuals or organizations, singly and collectively, of all blame for any injury, misadventure, harm, loss or inconvenience suffered as a result of taking part in the Wabash River Cycle Club Century & Family Ride or in any of the activities associated with said event.
Have you read the release above? (Checking Yes means that you accept the conditions):
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