Registration Form


NOTE - After September 5th, 2017 we cannot guarantee your catered meal ticket. We will try our best to accommodate late registrations after your payment has been made.

Participants Information

First Name *
Last Name *
Birth Date: *
(YYYY-MM-DD)
Email Address *
Phone Number *
Address *
City *
Province *
Postal Code *
Emergency Contact *
Emergency Phone Number *
Distance *
Post-Ride Meal *
* No extra cost for registered riders, meal is included in your registration

Waiver



By typing in your name below and clicking the "I Agree", you agree to be bound by this agreement.

Name of Participant
Note:

Extra meal tickets can be purchased on or before September 1st, 2017 by sending us an email at meals@mbscycling.org

  • Burger, chips, dessert ($15)
  • 1/4 BBQ Chicken, roasted potatoes, mixed veggies, salad, roll, dessert ($25)
  • BBQ Ribs, roasted potatoes, mixed veggies, salad, roll, dessert ($25)
  • BBQ 8oz Steak, roasted potatoes, mixed veggies, salad, roll, dessert ($25)
  • Veggie Stir-Fry, rice, mixed veggies, salad, roll, dessert ($20)


Contact us

  • Mike's Bike Shop
  • 506.852.7100
  • 506.388.3233
  • Mike LeBlanc
  • 506.854.7291
  • Pablo Vergara
  • 506.830.1220