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Gears for Goldens Registration Form

One Event T-shirt included with paid Registration Thru Monay, August 31st.
You can BUY T-SHIRTS and/or sign up for PEER-TO-PEER FUNDRAISING without registering for the event, see the Categories on the form below.

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Price Schedule

	Final
Individual Rider	$50

Categories

Individual Rider - $50.00

I want to sign up for Peer-To-Peer fundraising only.

There is no fee for signing up for fundraising only.

Participant Information

Contact Email

Participant First Name

Participant Last Name

Country

Street Address (w/Apt#)

City

State

Zip Code

Phone

Fundraising Team new fundraising team

Please select the ride you wish to participate.

One-Third Metric (18.1 mi)

Half Metric (38.2 mi)

Full Metric (62.1 mi)

Participant Birthdate

Emergency Contact

Emergency Phone

Participant Gender

Female

Male

Do you belong to a bike riding club?

add new team

How did you hear about our event

Make a Donation

Neuse River Golden Retriever Rescue
click here, to learn more about this cause

Amount $

NRGRR is a 501(c)(3) organization in North Carolina that is dedicated to the rescue, rehabilitation, and adoption of golden retrievers in need.

Waivers

Waiver

I have read and agreed to the TERMS

CLICK HERE TO VIEW THE TERMS.

Is the participant 18 or older?

18 or older Under 18

Check Out and Pay

Discount or Tracking Code

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Do not COPY & PASTE the code, please type it into this field.

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Shipping

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Sales Tax

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coverage $

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Total Owed

Payment Method

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Gears for Goldens Registration Form

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