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Buckeye Bridge Ride Registration
June 24, 2023
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* Indicates required question
Email
*
Your email
Person 1 Name
*
Your answer
Address
*
Your answer
City
*
Your answer
State
*
Your answer
Zip
*
Your answer
Day of Ride Phone Number
*
Your answer
Emergency Contact Name
*
Your answer
Emergency Contact Phone Number
*
Your answer
Emergency Contact Relationship
*
Your answer
T-Shirt Size (only included if registered by June 1)
*
XS
S
M
L
XL
XXL
I plan to ride
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4 mile short ride
17 mile ride
32 mile ride
45 mile ride
Select registration type
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Adult Registration - $25
Youth Registration - $15
Do you want to register another person?
*
Yes
No
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