Humboldt Randonneurs 2023 Brevet Registration

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Contact humboldtrando@gmail.com

Email *

Last Name *

First Name *

RUSA Number *

Phone Number *

Emergency Contact Number *

Address *

Humboldt Bay 200K - May 13th -

$20

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Unknown Kings 300K - May 27th -

$20

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Forks of Salmon 200/300/400 - June 17th -

$20

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Brookings 400 - June 24th -

$40

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Port Orford 600 - June 24th -

Note: we will require at least 5 registered riders for the 400/600 weekend to offer bag drop service in Gold Beach. If the number of registered falls below 5 we will refund the ride fee and run the brevet completely unsupported.

$60

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EP1K Coastal - July 21st -

$150

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I am a current RUSA member *

Yes

Required

I will follow the link on the next page and fill out the waiver for each event which I am registering for *

Yes

Required

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