R-12, P-12, K-Hound Make-Up Ride
Apply to use Permanents in January to count towards R-12, P-12, and/or K-Hound rides for December, 2018. By using these rides for make-ups, they will credit your 2018 distance and rides, and will not credit your 2019 distance and rides. Submit one form for each ride (e.g., a 200k for R-12, a 100k for P-12). IMPORTANT: You must get permission from the perm route owner, and submit a waiver, as usual, then submit the results and have the perm route owner post them.
Member Name *
Your answer
Member RUSA # *
Your answer
Ride Date *
MM
/
DD
/
YYYY
Ride Distance *
Your answer
Permanent Ride Route Number *
Your answer
Certification # *
Your answer
Credit Towards R-12 or P-12 *
Using this for K-Hound Credit?
Submit
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