Tour da Delta

Registration and Waiver
Online Registration at
BikeReg
or use the form below.


 

 

Ride Route Selection 
[  ] 28.6 mile   [  ] 65 mile 

 Sock Size      
[  ] s/m   [  ] l/xl

Registration fee $60.00

Fun Ride fee is $60.00
 

Name:____________________________________
Address:__________________________________
City/State:________________________________
Phone:____________________________________
Email:____________________________________

 

For questions, contact Chris Schaffhouser- 501-240-4211


 

Waiver of Responsibility

In participation in the Tour da Delta bike ride, I for myself and executors, administrators and assigns, do hereby release and discharge the Tour da Delta race and or ride committee and all sponsoring organizations from all claims or damages, actions, and causes of actions, and causes of actions whatsoever, in any manner arising or growing from my participation in this event.  I agree to wear a bicycle helmet at all times and abide by the rules of the road. 

Signed ________________________________________________   (if under 18, guardian must sign)   Date ____________________________________

 

For Questions, contact Chris Schaffhauser- 501-240-4211

Contact the Chamber of Commerce
or for area hotels at 870-338-8327.

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