Please fill out our online form. You will be contacted by an event Volunteer regarding further information.


Corporate Name: (if applicable)

Name: (required)

Email:(required)

Please confirm your Email:

Address:

Telephone Number:

Your Twitter:


I would like to register as a:

 Team of 4 - $260 (includes lunch & wrap up gathering)
 Single Rider - $70 (includes lunch & wrap up gathering)
 Event Sponsor: $
 Super Lead sponsor ($1,500) (different visibility benefits at each level, more info can be sent to you)
 Special sponsor ($750) (different visibility benefits at each level, more info can be sent to you)

Name of team members: (please separate members with a comma)


*Remember, $150 helps send a kid to camp for a week!