Join us for our annual Bike-A-Thon as a rider or volunteer. The ride includes a 45-mile and 30-mile ride for the experienced rider and 10 miles for the casual fun biker.

Event Start/Finish Location
Renaissance Credit Union (Parking Lot)
55 Fuller Street, Somerset, NJ

Registration Times
8:00 - 10:30 AM

Start Times
45 Mile 9:00 AM
30 Mile 9:30 AM
10 Mile 10:30 AM
Lunch and Post Event Activities - Noon

45-mile riders are asked to raise a minimum of $100.00 in pledges/sponsorships
30-mile riders are asked to raise a minimum of $75.00 in pledges/sponsorships
10-mile riders are asked to raise a minimum of $50.00 in pledges/sponsorships

REGISTRATION FORM
Fill in, print, and mail with payment.
Registration Fee:
On-Site Registration:
 $25.00 per rider
$30.00 per rider
Name:
Address:
City:
State:
Zip:
Birth date:
Gender:
 F | M
Phone Number:
Cell:
Emergency Contact Name:
Emergency Contact Phone:
T-shirt size: S | M | L | XL | XXL
SIGN ME UP TO RIDE IN THE FOLLOWING:
45 Mile Ride: Raise a minimum of $100.00
30 Mile Ride: Raise a minimum of $75.00
10 Mile Ride: Raise a minimum of $50.00
For more information call: (732) 247-6883 or Dave at (732) 213-6311
ALL RIDERS MUST WEAR A HELMET AND SIGN WAIVER RELEASE

WAIVER RELEASE
Fill in, print, sign, and mail with payment.
Please read carefully; registration is
not complete without Signature below.
Waiver: In signing this document, I hereby waive all claims against Renaissance Community Development Credit Union Bike-A-Thon, its sponsor, corporate sponsors, cooperating organizations, and any other parties connected to this event or any persons for any injury, damage, or loss of property I might suffer at this event. I attest that I am physically fit and prepared for this event. I grant full permission for organizer to use photographs and quotations of me in legitimate promotions of this event.
Signature:
 ______________________________
Date:
Type Name:
Parent/Legal Guardian Signature (if participant is a minor):
__________________________________________________________

All registration forms must be received by August 20, 2010, to guarantee a T-Shirt in your size.

Mail registration form along with checks payable to:
RCDCU Bike-A-Thon
P.O. Box 328
Somerset, NJ 08875-0328

Make A Donation

If you would like to donate, please do so below.
© 2005 - 2008 Renaissance Community Development Credit Union All Rights Reserved.