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September 18, 2010 Poker Run Registration

That's right - date picked and it is set up to take registration. UNR plays Friday night so we have Saturday to ride!

Preregistration is $15 for the traditional 10 mile ride and $25 for the Combination 40 mile ride.

Where does all the money go? Right back into the non-profit organizations and to the participants.

Fat Boy Biking Poker Run On-Line Registration

Please note that all fields followed by an asterisk must be filled in.

Hold Harmless Agreement*
Hold Harmless Agreement*

Yes I have read the Hold Harmless Agreement and by checking the box I accept the terms.

Which Ride Do You Want To Do?*
Which Ride Do You Want To Do?*

First Name*
First Name*

Last Name*
Last Name*

E-mail Address*
E-mail Address*

Street Address

City

State/Prov

Zip/Postal Code

Home Phone*
Home Phone*

Emergency Contact Information - Please list Name and Cell Number*
Emergency Contact Information - Please list Name and Cell Number*

Person To Thank

T-Shirt Size*
T-Shirt Size*

Please enter the word that you see below.