Home
Ride Info
Register to Ride
Sponsors
Charities
Participate
Tour Wear
Lodging
History
Routes
Directions
FAQ
Contact Us
Rider Registration
Organization/Charity:
Rider Name:
*
Tandem Rider Name:
Rider Age:
Over 18
Under 18
Distance Route:
*
Over 18 Years - 5 Mile, +$25.00
Please Select...
Over 18 Years - 10 Mile, +$25.00
Under 18 Years - 5 Mile, +$10.00
Under 18 Years - 10 Mile, +$10.00
25 Mile, +$40.00
55 Mile, +$55.00
100 Mile, +$60.00
Tandem 25 Mile, +$55.00
Tandem 10 / 5 Mile, +$40.00
Tandem 100 / 55 Mile, +$95.00
Processing Fee:
*
Fee, +$5.00
Late Fee:
*
Fee, +$10.00
TWO Picture Files @ 70% Savings:
No
Yes, +$15.00
T-Shirt Size:
Please Select...
Large
Medium
Small
X Small
XL
XXL
Terms and Conditions:
*
Agree
No
Tour de Palm Springs Waiver and Release In consideration of your acceptance of this entry, I hereby, for myself, my heirs, my executors and administrators, waive any and all rights and claims for damages I may have against CVSPIN, INC., its employees, agents, representatives, assigns and anyone else working with them, and all participating groups, and any individuals associated with this event, their representatives, successors and assigns and will hold them harmless for any and all injuries and/or damages suffered by me in connection with this event. In addition, I grant permission by the Tour de Palm Springs to use my image and any photos, motion pictures, recordings or any form of record for this event for any legitimate purpose. I have been warned that bicycling is a dangerous sport and that I must be in good health to participate in this event. I must obey all traffic laws and wear a helmet while participating in this event. In filling out this form I acknowledge I have read and fully understand my own liability and do accept the restrictions. Children under 18 years of age must have parent or guardian sign on their behalf.
SUBTOTAL:
$0.00
