Knoxville Fall Classic Double Century Ride Application - Saturday September 29th, 2018

Entry Fee: $100.00 ($120.00 after August 31st)
Check-in is at Pena Adobe Park, 4699 Pena Adobe Rd, Vacaville, CA 95687
Friday evening between 6 & 8 or Saturday morning between 4:00 & 6:30.
You will be required to sign a waiver at check-in prior to riding.

Rider Information - Note: Fields marked with a red asterisk (*) are required.
First Name* Middle Name
Last Name*
Gender* Male   Female  
Birthdate*
eMail*
Address*
City* State* Zip*
Phone #* Alternate Phone #:
Emergency Contact Name* Emergency Phone*
Tandem Partner:
 Entry Fee. Please only change if you are utilizing a volunteer credit. 
 Tom Milton Memorial AED fund pledge amount. 
 CTC Awards Breakfast prepay (recommended $10/person). 
 Total Due. 
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