Northern Virginia Cloverleaf 1000k Registration
This is the form to register for Northern Virginia Cloverleaf 1000k on Sep 16-19, 2021. Each rider must fill one registration form up.
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) *
your RUSA number (RUSA Membership must be current) *
Although, NVC-1000k has no qualifications but What is the longest event you have ridden this year or planning to ride up to the event on September 16? *
Are you navigating only & only with a cue-sheet? *
If you are riding a tandem, who are you riding with? Each rider must register separately.
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. *
Please pay via pay pal link below; fee includes Pre-ride Breakfast; Foods & drinks during 2 overnights; Post-ride Foods & drinks AKA "post ride party", the 1000k ACP medal and A souvenir gift.
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