About You
Your Name (*)
Invalid Input
Email Address (*)
Invalid Input
Phone Number (*)
Invalid Input
Your Address (*)
Invalid Input
City (*)
Invalid Input
State (*)
Invalid Input
Zip Code (*)
Invalid Input
Your Registration
Which Ride? (*)
Invalid Input
T-Shirt Sizes
Invalid Input
Where will you be staying in Ardmore? (*)
Invalid Input
How many nights? (*)
Invalid Input
Early Registration
Postmarked or submitted by May 29, 2009
$30 Adults
Invalid Input
$35 Tandems
Invalid Input
$10 Children under 12 (no t-shirt)
Invalid Input
Total
Invalid Input
Spaghetti Dinner
Must RSVP by May 29, 2009
FREE Alumni
Invalid Input
$5 Non-Alumni
Invalid Input
Total
Invalid Input
Race Day and late postmarks
$35 Adults
Invalid Input
$40 Tandems
Invalid Input
$10 Children under 12 (no t-shirt)
Invalid Input
$12 Additional T-Shirts
Invalid Input
Rally Release
In consideration of your acceptance of this rally entry, I for myself, my heirs, executors, administrators and assigns, forever release and discharge any and all rights, demands, claims for damages and causes of suit or action known or unknown, that I may have against Ardmore Main Street Authority, Red River Roadkill Rally committee members, City of Ardmore and any and all participating rally supporters and sponsors and the directors, officers, employees, sponsors and agents of such parties for any and all injuries in any manner arising or resulting from my participation in said rally. I attest and verify that I have full knowledge of the risks involved in the rally, that I assume those risks, that I assume and pay my medical and emergency expenses in the event of an accident, illness or other incapacity regardless of whether I have authorized such expenses, and that I am physically fit and sufficiently trained to participate in this rally. I release the rights to any and all photographic material and registration and computer information the Red River Roadkill Rally may wish to release for this event without obligation to me.
By typing your initials, you swear that the above information is true to the best of your knowledge and that payment will be made on the above items in the time specified by your selections. If your Early Registration payment is not received by the time you specified, you will be charged full price to enter the race.
Your initials (*)
Invalid Input
Captcha
Refresh
Invalid Input
