Tour de Palm Springs - Ride Fees for 2009 Event. Please print one form per rider. Riders must show registration wrist bands in order to enter SAG stops for food, water and bike support.
Distance
Check One		 Entry Fee
Over 18
 Entry Fee
Under 18		 Late Fee
After Jan. 23, '09
Payment
Enclosed
5 mile $25 $15 +$10
$  
10 mile $25 $15 +$10
$  
25 mile $40 $40 +$10
$  
55 mile $55 $55 +$10
$  
100 mile $60 $60 +$10
$  
Tandem
100 mi. 55 mi.		 $85 $85 +$10
$  
Tandem: 25 mile $55 $55 +$10 $ 
Tandem: 10/5 mile $40 $40 +$10 $ 
Adult Pasta Dinner $10 _________ adults
$  
Child Pasta Dinner $5 - under 12
 _________ children
$  
I would like to donate to the charities supported by Tour de Palm Springs:
$  
Pre-registration includes one t-shirt per entry. Please indicate size.
X Small Small Medium Large XL XXL
Click to Purchase TOUR BIKE JERSEYS.
8x10 Printed Photo from PhotoCrazy.com (discounted price with registration) ___ # of photos $  
 First and Last Name    Age  
 Street Address  
 City    State     Zip  
 Daytime Phone    Evening Phone  
 Email Address  
 Emergency Contact    Contact's Phone  
 Referred By  
I am 18 years or older OR
I am under 18 years of age and my parent/guardian has signed off on my behalf.
Signature  
I have read and agreed to the Waiver and Release.
Date:   
Make check payable to: Tour de Palm Springs. Remember to print ONE FORM PER PERSON.
Mail form(s) and check to: Tour de Palm Springs, P.O. Box 1627, Cathedral City, 92235 - 1627
Phone (760) 770-4626 - Fax (760) 770-3710 - Tax ID#33-0836672
Are you visiting from out of town? See our lodging information. BACK HOME