Northern Virginia Cloverleaf 1200k Registration
This is the form to register for Northern Virginia Cloverleaf 1200k on Sep 16-19, 2021. Each rider must fill one registration form.
Email *
First name *
Last Name *
Full mailing address *
Cell phone number (While you are riding) *
Emergency Contact Name & number (Someone who is not riding during the event) *
Is your RUSA membership current for 2021 (RUSA Membership is required to ride due to waiver requirement) *
Although, NVC1200 has no qualifications but What is the longest event you have ridden this year or planning to ride up to the event on September? *
How many 1200k/LRM have you ever ridden? Find your results here http://www.randonneursmondiaux.org/53-Results_Link.html *
Are you navigating only & only with a cue-sheet? *
If you are riding a tandem, who are you riding with?
where do you plan to stay during the event? (Hotel, RV, local friend, e.g) *
Any special diet, health issues or anything that we should know and you would like to share with us. *
What's next? You will receive an email with the payment instructions.
Please allow up to 72 hours until you receive the payment instructions.
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