Bike Shuttle Registration

Please click on this WAIVER RELEASE FORM to open it in your browser.  Then please print and complete it.  Each participant must have a completed waiver.  Bring it with you to the event.  This will save a lot of time.  Thanks for your participation!

Bike Shuttle Registration - Race for the Rivers

Billing Information
* First Name:
* Last Name:
* Address:

,
* Email:
 
Registration Information
* Cell Phone Number ( ) -
St Charles to Washington (with a stop at Weldon Spring Boat Ramp) leaving at 7:30 am  Yes
  No
* St Charles to Washington (with a stop at Weldon Spring Boat Ramp) leaving at 3:00pm  Yes
  No
* Will you have a bike?  Yes
  No
Note:
* Did you download and print the waiver form?  Yes
  No
* Amount:
Other Amount: $
* Captcha: Please type the letters as they appear in the box below.
Reload Image



 
Payment Information
* Card Type:

   OR   

* Card Number:
* Expiration Date:
/
(MM / YYYY)
* CVV Code:   Last 3 digits on back of card