The Tour 'de Braz
Century Bike Ride
Be sure to check back later for information on 2001.

Get the Century Bike Ride Registration Form in PDF Format.
Requires Adobe Acrobat Reader - available free:

Address:

City, State, Zip:

Phone #:

Emergency Contact:

Emergency Contact Phone:

Distance (check one):
100 mile:	___	62 mile:	___	50 mile:	___
30 mile:	___	20 mile:	___	10 mile:	___

Adult T-Shirt Only (check size):
Medium:	___	Large:	___	X-Large:	___	XX-Large:	___

Fees:

• Before May 26:
  • Individual - $20.00
  • Family* - $50 (*Limit of Two (2) T-shirts per family registration.)
  • Tandem Team - $30

• After May 26, add $5 per fee to above rates.

Make checks payable & mail to:

or, charge it and fax your registration to:

Visa/MC Account no.:

Exp. Date:

Notice:

This entry blank release form is a contract with legal consequences. In consideration of the acceptance of my registration entry, I, the undersigned, assume full and complete responsibility for any injury or accident which may occur during participation in the Tour de Braz Bike Ride. I hereby release the Tour de Braz Bike Club, City of Alvin, Alvin Community College, their employees, agents, affiliates & assigns present or future, whether known, anticipated or unanticipated, resulting from or arising out of or incident to, in the whole or in part, my participation in the Tour de Braz Bike Ride and related activities, whether or not caused by the negligence of any of the parties released hereby. I understand that I must ride in a safe manner. I will use a hard shell helmet during the Tour de Braz Bike Ride.

Parent, if entrant is under 18:

More about the Tour de Braz:

For more information: