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2023 MS Spring Fling Registration Form
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Price Schedule
Through
05/31/2023
Through
06/03/2023
Final
Metric century
$50
$55
$60
Half-metric century
$50
$55
$60
20-mile ride
$50
$55
$60
Categories
*
Metric century
- $60.00
Half-metric century
- $60.00
20-mile ride
- $60.00
Participant Information
Participant Email
*
Participant First Name
*
Participant Last Name
*
Participant Birthdate
*
- month -
Jan
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- year -
2023
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Participant Gender
*
Male
Female
Country
*
-- select country --
Canada
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Street Address (w/Apt#)
*
City
*
State
*
-- select state --
Alabama
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Tennessee
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Washington
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Wisconsin
Wyoming
-- select state --
Alabama
Alaska
Arizona
Arkansas
California
Colorado
Connecticut
Delaware
District of Col.
Florida
Georgia
Hawaii
Idaho
Illinois
Indiana
Iowa
Kansas
Kentucky
Louisiana
Maine
Maryland
Massachusetts
Michigan
Minnesota
Mississippi
Missouri
Montana
Nebraska
Nevada
New Hampshire
New Jersey
New Mexico
New York
North Carolina
North Dakota
Ohio
Oklahoma
Oregon
Pennsylvania
Puerto Rico
Rhode Island
South Carolina
South Dakota
Tennessee
Texas
Utah
Virgin Islands
Vermont
Virginia
Washington
West Virginia
Wisconsin
Wyoming
-- select province --
Alberta
British Columbia
Manitoba
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Northwest Territories
Nova Scotia
Nunavut
Ontario
Prince Edward Island
Quebec
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Zip Code
*
Phone
*
Would you like to
receive important event text alerts
on this number (eg. changes or delays)?
Emergency Contact Name
*
Emergency Phone
*
Affiliated Club, Team, or Organization
-- select your club or team --
- I am not a member of a team -
Black Girls Do Bike
Blue Ridge Riders
Capital Cycling Club
Carolina Tarwheels
Crafty Wheelmen
Cross Creek Cycling Club
Dark Horse Triathlon
Dead Legs Society
DINK Realty
EFT
Extreme Networks
Freewheel Foundations
Fusion Endurance
GCV
GSK
Gyros
Inland Construction-Constellation
Jigawatt Cycling
Life Time Cycle
Martin Marietta
Mckimcreed
MidCarolina Multisport
Missing Spokes
MSing Links
On Draft
Rocket Revolution
Sandhill Cycle Club
Schneider Electric
SPRC PYRC
Team Ian
Team On Draft
TeamCBC
Thorns 'N Roses
Triangle Triathlon Club
add new team
new team name
select or enter a team name
Raffle Ticket for $3200 Bicycle! Sponsored by All Star Bike Shop
$20.00
click to enlarge
Win a $3200 bicycle from All Star Bike Shop! Each ticket gives you one entry into the raffle and increases your opportunity to win a bike or you can get a credit towards an upgraded bicycle! Prize will be awarded at BIke MS, New Bern NC Sept 9-10th. Good luck!
Show Product Options
Number of raffle tickets
Make a Donation
MS Society
Amount $
These donations during the Spring Fling are 100% donated to the MS Society to support developing treatments and finding a cure for MS. Please consider making a donation that will go directly to the MS Society in the name of TeamCBC and is tax-deductible.
Waiver
*
I have read and agreed to the
TERMS
*
Click here to read the TERMS
Is the participant 18 or older?
*
18 or older
Under 18
Parent or Legal Guardian’s Signature - By providing your electronic signature you agree that you have the authority to register these participants and agree to the waiver(s) for them as their parent or legal guardian.
If registering a child under 18, you are consenting to the collection of the child's information that you are providing for the purposes of registration.
Parent's signature
Payment Details
Discount or Tracking Code
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Price
$
Discount (-)
$
Total
no handling
$
Handling
$
Donation
$
Total Owed
$
Payment Method
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Visa/Mastercard
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click the "pay now" button to submit your order then send a check to (or pay in person at) the address above.
1. Venmo the total amount to the Phone #:
2. Make sure you enter the code,
56284
in "What's it for".
3. Click the "pay now" button.
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