Registration

 

Team groups - 6 or more riders $25.00 per rider -Team/Group Sheet Download pdf form { View }
Must submit Registration and Team forms together by June 10th
TDK Registration Form Printable.pdf Download  
TourdeKale Ride and 5k night run and walk -
Cost and Registration Form
· 5k night road race and bike ride - $45.00
· 135k - extreme summit challenge -$35.00
  120k - challenge-rolling to very hilly- $35.00
· 110k rolling to hilly challenge -  $35.00
· 60k - moderate to rolling -         $35.00
· 25k - moderate ---------------- $35.00
· [Lunch included] registration is $40.00 day of ride.
· 5k night road race - $20.00 ~ 1 mile fun run - $20.00 ~ Walk - $20.00 - please
add $5.00 if you want lunch on Saturday
**********************************************************************
PARTICIPANT INFORMATION (Please Print)
(Circle one) SELECT COURSE: 135 SUMMIT CHALLENGE 120k / 110K / 60K / 25K / 5K NIGHT
RUN 1 MILE FUN RUN-WALK
FIRST/LAST NAME: ___________________SEX: MALE / FEMALE
AGE (DAYOF EVENT):________
ADDRESS: ________________________ EMAIL:
_____________________________________
CITY-STATE-ZIP________________________SELECT SHIRT SIZE: S M L XL XXL
HOME PHONE: _____________________ FUNDRAISING GOAL: ________________
EMERGENCY CONTACT.EMERGENCY PHONE: ________________________________
Bubba Division 190 + lb male competing in the 135k Summit Challenge (circle) Yes No
Cat Division, (Please check) Novice____ 5____4____3____2____1____

PLEASE ENCLOSE A CHECK OR MONEY ORDER IN THE CORRECT AMOUNT WITH YOUR
REGISTRATION FORM. (MAKE CHECKS PAYABLE TO CANAAN UNITED METHODIST
CHURCH TDK FUND) I ACKNOWLEDGE THAT MY REGISTRATION FEE AND ANY
DONATIONS THAT I MAY RAISE WILL NOT BE REFUNDED IF I CHOOSE NOT TO
PARTICIPATE IN THE EVENT.
PLEASE SIGN THE WAIVER
LIABILITY RELEASE AND WAIVER
For and in consideration of the right to participate in the Tour de Kale event, the
undersigned does hereby release, absolve and hold harmless Canaan United Methodist
Church, their sponsors, heirs, successors, assigns, volunteers, agents, and personnel
from any and all actions, cause of action, liability or responsibility what so ever, or any
injury, harm, loss or inconvenience suffered or incurred by the undersigned during or as
a result of taking part in the Tour de Kale. The undersigned further understands that
obedience of traffic regulations and signal devices is his or her own responsibility. The
undersigned understands and agrees that the sponsors make warranties what so ever
and are not responsible for one's safety during the Tour de Kale, or while traveling to
and from the Tour de Kale. I, the undersigned, have fully read, understand and agree to
all terms contained herein and so signify by signing and dating below.

Signed ______________________________

18 years of age, a parent or guardian must read and agree to the above conditions and
is consenting to entrant’s participation. If agreeable, he or she must sign and date
above.
Mail to: TDK c/o Sheri Skeen - 726 Mountain Shore Drive, Denton, NC 27239
ph: 336.313.9544

Date_______________________
 
TDK Registration Form Printable.pdf - 97k  Download
 
Firefox might not open this -> Printable Version of Registration                                                    
 
 
Team groups - 8 or more riders $25.00 per rider Download form
Must submit forms together by June 10, Call for group registration forms. 336.313.9544