Bike Tioga 2007 Registration Form:

Saturday:
7:00 a.m. Registration
8:00 a.m. 100 & 63 mile ride
9:00 a.m. 45 & 25 mile ride

Sunday:
8:00 a.m. Registration
9:00 a.m. 61 & 40 mile ride
10:00 a.m. 24 mile ride

Check your participation days:

* Saturday, August 11
o 25 Mile “Newark Valley Days Quarter Century” – Flat
o 45 Mile “Coffee and Wine Loop” – Flat (1 gradual hill)
o 63 Mile “Farmlands Metric Century” – Flat to Rolling
o 100 Mile “White Church Century” – Flat to Hilly

* Sunday, August 12
o 24 Mile “Off to the Races Quarter Century” – Rolling to Flat
o 40 Mile “Depot Run” – Rolling to Flat
o 61 Mile “State Line Metric Century – Hilly to Flat

Participants must be 13 years or older. Those younger must be accompanied by a parent or guardian.

Name ________________________________________________________________________

Address ______________________________________________________________________

City/St/Zip ____________________________________________________________________

Phone ________________________________________________________________________

Email ________________________________________________________________________

Registration includes bike route information, maps, morning refreshments, goodie bags (lots of good stuff!), Bike Tioga t-shirt. Sub and Pizza options will be an additional cost.

Circle T-Shirt Size
Small Medium Large Extra Large

Circle T-Shirt Size:
Pre-registration Fee-By August 4th:
Saturday only $10
Sunday only $10
Both Days $15

On-Site Registration-After August 4th:
Saturday only $15
Sunday only $15
Both Days $20

Enclosed is:
____ Check
____ Credit Card # ____________________________________

Expiration Date ____________________________________

I acknowledge that by signing this document, I am releasing Owego Rotary Club, its sponsors and others from liability. This registration and release is a contract with legal consequences. I have been advised to read it carefully before signing.

Signed _________________________________________Date _________________________________

Please return form to Bike Tioga 2007, c/o Tioga County Tourism, 80 North Avenue, Owego, NY 13827 or fax to 607-687-9028. You can also register using Paypal.