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Registratio n Form: Please complete all information and mail form to: Jeff Murray, Pedal for a Purpose 6857 Piershill Lane Cary, NC 27519 Or register online through: www.insideoutsports.com Participant Information: Name: Address: Email: Phone:

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Registration Form:

Please complete all information and mail form to:

Jeff Murray, Pedal for a Purpose

6857 Piershill Lane

Cary, NC 27519

Or register online through: www.insideoutsports.com

Participant Information:

Name:

Address:

Email:

Phone:

Date of Birth: Sex: M F

Emergency Contact:

Emergency Contact Number:

Payment Information:

Individual: $30

Donation: $

Sponsorship: $

* Make checks payable to Pedal for a Purpose

T-Shirt Size: S ____ M____ L____ XL_____

All proceeds will be donated to the Methodist Home for Children NC

www.mhfc.org

Presents

Pedal for a Purpose

Benefitting

Methodist Home for Children of North Carolina

September 5, 2009

Starting at

Inside-Out Sports

2002 Grisdale Lane, Cary NC


Pedal for a Purpose

Date: September 5, 2009

Time: Registration 7:00am

Kickoff Ride 8:10am

Route: Half Metric Century route (31 miles) 

and Metric Century (62 miles) route.

Maps to be provided on site

Cost: $30.00 per person

Contact: Inside-Out Sports (919) 466-0101

Jeff Murray (919) 749-9808

Registration: Online at www.insideoutsports.com

or attached Registration Form

Supporting: Methodist Home for Children NC

www.mhfc.org

Safety

For the safety of participants, all USCF cycling rules and regulations apply. Participants must be safe and courteous. All participants must wear helmets while on the course.

Inclement Weather Policy

The Pedal for a Purpose ride will take place rain or shine. In the unlikely event of extreme severe weather, the ride will be cancelled and all proceeds will be donated to the Methodist Home for Children and are non refundable.

Beverage and Food

There will be two complimentary beverage and food stations along the Pedal for a Purpose route for registered racers.

Donations and Sponsorships

Donations and sponsorships for Pedal for a Purpose are welcomed. Please see information on back panel for details.


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