Lupine Junefest 2023 Bicycle Tour

Personal Information

• IMPORTANT! Please be sure that you are ready to register all parties and have your final information correct and ready BEFORE you submit anything. This program, unfortunately, will not let you return to the site, using the same e-mail address, if you want to make changes or add riders. The contact person should be entered in this first field, additional riders will be entered below (Additional Participant Registration). PLEASE NOTE: Only PRE-REGISTERED bicyclists are GUARANTEED a t-shirt. Please pre-register, by May 20, to be guaranteed your 2020 Lupine Junefest shirt.

• * First Name:
• * Last Name:
• * Email Address:
• * Confirm Email Address:
• * Address 1:
• * City:
• * State: --Choose-- Alabama Alaska Arizona Arkansas California Colorado Connecticut Delaware District of Columbia Florida Georgia Hawaii Idaho Illinois Indiana Iowa Kansas Kentucky Louisiana Maine Maryland Massachusetts Michigan Minnesota Mississippi Missouri Montana Nebraska Nevada New Hampshire New Jersey New Mexico New York North Carolina North Dakota Ohio Oklahoma Oregon Pennsylvania Rhode Island South Carolina South Dakota Tennessee Texas Utah Vermont Virginia Washington West Virginia Wisconsin Wyoming -------------- Alberta British Columbia Manitoba New Brunswick Newfoundland and Labrador Northwest Territories Nova Scotia Nunavut Ontario Prince Edward Island Quebec Saskatchewan Yukon Territory
• * ZIP Code:
• * Phone:
• * Please select ride length: --Choose-- 10 mile Road Ride 28 mile Road Ride 50 Mile Road Ride Pick Your Distance Mercer Trail Ride (15 Mile)
• * Shirt Size --Choose-- Adult S Adult M Adult L Adult XL Adult XXL Youth S Youth M Youth L

• Fee

  Type	Fee
  Bike Tour, One Person + online fee	$38.00
  Bike Tour, Two People + online fee	$73.00
  Bike Tour, Three People + online fee	$108.00
  Bike Tour, Family up to 4--limited to 2 adults + online fee	$88.00
  Bike Tour, Four People + online fee	$143.00
  Bike Tour, Five People + online fee	$178.00

Thanks for Joining Us

• * Please let us know how many years you have participated in the Lupine Junefest Bicycle Tour.

Additional Participant Registration

You may add a maximum of 10

Helmets, Goodies & Waiver Information

• Please note: BICYCLE HELMETS ARE REQUIRED! All rides travel on paved roads. SAG vehicle support provided. Bike Tour Registration is available on the day of the tour, June 8, from 6:30 - 8 am Group Start at 8 am for Road Rides Group Start at 8:10am for Mercer Trail Ride

• Each bicyclist will receive a gift bag that includes a map and lunch coupon. ONLY those pre- registered BY MAY 18 will be GUARANTEED a t-shirt. You may still pre-register on-line through June 5, or on site the day of the event. Food, water and comfort stops are provided.

• WAIVER AND RELEASE OF LIABILITY As a participant in the 2022 Lupine Junefest Bike Ride, I understand that bicycling is a potentially hazardous sport and knowingly, at my own risk, enter this event. I, my estate, and my heirs waive any claims for damages or injuries that I may incur as a result of my participation in this event against the Mercer Chamber of Commerce, sponsors, volunteers, employees, or officials. I also grant permission for the use of my name and any photographs, video, or other record of my participation in the bike ride. I understand that helmets are required for all riders. This event will be held rain or shine. Refunds will not be given.

• *

  I have read the former Waiver and Release statement and I certify that I am over 18 years of age. By checking I Agree, I certify that I have done so voluntarily and I agree with the statement.

  • I Agree.
  • No, I do not agree.