Bicycle for Life

Carolina Flèche - 2014 Team Pre-Registration

RUSA - High Point, NC USA - Region

Please use the below form to pre-register Teams to participate in Bicycle for Life Flèche which is scheduled by the RUSA High Point NC USA Region Mar 28-31, 2013.

If you have any trouble completing the form, please let us know what the specific issue is with the form. The information requested from you on this form is intended to be used to fill out your official control card and should only be used as needed by official BFL staff pertaining to the Flèche that you participate in with BFL. The info on this form is sent via an email system!

If you do not want to send this info via email, please print this page and mail it to Bicycle for Life • 1935 Barringer Rd • Salisbury NC 28147. If you mail it in, please use our standard contact form to let us know you are planning to ride.

If you do not pre-register, you will not be able to start or participate in the Flèche. Event registration will close in March.

Thank you for pre-registering for the Flèche

Bicycle for LIfe
2013 Carolina Fleche - Atlantic Beach NC USA
Team Name Pre-Registration Form

* All fields Required *

Note that you are limited to 5 team members and that multiperson bicycles count as 1 member for a Fleche. Each individual must register using the online individual registration form as well as mail-in (via postal type mail) a completed and signed waiver/release form. Any riders whose forms are not received prior to start will not get credit for the Fleche!

Fleche Team Name
Below Riders will be on:

(Please, letters only in name)
Must be an Active Member
to get credit for finish
(Member lookup)
Last name, First name RUSA # Bicycle type
Captain Name:
Rider2 Name:
Rider3 Name:
Rider4 Name:
Rider5 Name:
Rider6 Name:
Rider7 Name:
Rider8 Name:
Rider9 Name:
Rider10 Name:
Starting Date : Starting Time:
24hour format
Starting Street:
Starting City:
Starting State:
Starting Zip:
Control Points Location, name, etc. Miles
(numbers only)
Start
CP2
CP3
CP4
CP5
CP6
CP7
22 hour Minimum
25 km or 15.53 miles
from finish
Finish Minimum
360 km
223.7 miles
Email Que sheet

Captain Email Address:


Verifiy Email Address:



Captain Phone:

0123456789
10 digets only
In route
Emergency Contact:
In route Emergency
Phone Number:

0123456789
10 digets only
Comments:
Team Registration Donation Pledge:

Cash or Good check accepted for event registration


Please bring donations with you to event finish or mail it in with your signed waivers!

Credit Cards are only accepted online through PayPal via our Donate Page
Please add a note along with your donation indicating what it is for!

Captain should carry with them emergency contact info for each rider on the ride. IP Address:
Used for reporting
Spammers