Marble City Metric Century

Saturday April 11th, 2009 Registration Form

Name _______________________________________ Address _____________________________________
(city state zip)

E-Mail Address _________________Phone (___)___-____ Emergency Contact ________________ Phone(___)___-____
(Preferably not someone on ride)

Event Fee
(1st 50 registered)

$25.00

Cash Med

Check Large

($30.00 day of event)

T-Shirt size Small

XL

Print and bring to event or mail to: COGS: MCMC 641 Mountainview Lake Road Sylacauga, AL 35150 All riders must sign a Release Form All riders must wear helmet.

Ride Sponsored by Sylacauga Civitans, COGS, Blue Bell Creameries, Vicious Cycle, Sylacauga Parks and Rec.

Sign up to vote on this title
UsefulNot useful