Register for Bagels and Bluegrass Bicycle Century Tour and 5K
Personal Information
Name *
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Age
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Gender
Address
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City
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State
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Zip
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E-mail *
Your email address will only be used for the purpose of communicating to you about Bagels and Bluegrass, answering your questions or responding to your comments. Including it will lead to a quicker response to your question or comment.
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Phone
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T-Shirt Size
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Allergies
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Medication
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Choose a race *
If pre-registering online, you will be allowed to pay pre-registration fee at check-in the day of ride/run.
Emergency Information
Emergency Contact Name
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Emergency Contact Address
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Emergency Contact Age
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Emergency Contact Relation
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