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

Printable Version of Registration

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