CT Jamboree Form

All riders are required to register online! For planning purposes, registration must be completed no later than Friday July, 9th 2010. This year’s ride will be limited to sixty people and it is anticipated that these spots will fill quickly. To reserve a spot, a $100 non-refundable registration fee is required--this will be applied to your overall fund raising contributions.

(pay for your $100 registration fee here) and complete the registration form below

First Name:  
Last Name:  
Address:  
City:  
State:  
Zip:  
Email:  
Home Phone:  
Cell Phone:  
Emergency Contact: