Teen action and support center: 2010 Registration Form

2010 Registration for Tour De Fun

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Today's date *

Please check ride that you will participate in

1 mile walk/run/ride

3 mile walk/run

7 mile family friendly ride

25 mile

50 mile

Please indicate if you are a student or adult rider *

First Name *

Last Name *

Address *

City/State/zip *

phone *

email address *

If you are riding with a team include name here

T- shirt size (1st 200 registrations) Youth Large/ Adult S M L XL

Emergency Contact Name *

Emergency Contact Phone *

Please return to the "Tour de Fun" homepage and click on "Pay Registration Fees" after completing this form

( * Required Field )