BIKE VAN BUREN XXXVIII

Registration/Check-in 
Keosauqua City Park
100 Van Buren Street

Saturday, August 17th 
7:00 - 8:30am
Sunday, August 18th
7:30 - 8:00am

Download, complete, and save time at registration! 
Release of Liability Waiver

EARLY-BIRD Mail In Registration Form 


Name:
Phone:
Email:
Street Address:
City, State, Zip:

BIKE VAN BUREN EARLY-BIRD REGISTRATION GOING ON NOW THROUGH JULY 25th!

TWO-DAY or ONE-DAY Registration- Adult:
Saturday and Sunday$35.00
(Both Days)
Saturday$25.00
Sunday$25.00
Not Sure$25.00
TWO-DAY or ONE-DAY Registration - Youth (Under 17):
Saturday and Sunday - Youth (Under 17)$30.00
(Both Days)
Saturday - Youth (Under 17)$20.00
Sunday - Youth (Under 17)$20.00
Not Sure - Youth (Under 17)$20.00

LUNCH

LUNCH (Adult):
Saturday and Sunday$30.00
(Both Days)
Saturday$15.00
Sunday$15.00
Not Sure$15.00
LUNCH - Youth (Under 12):
Saturday and Sunday - Youth (Under 12)$20.00
(Both Days)
Saturday - Youth (Under 12)$10.00
Sunday - Youth (Under 12)$10.00
Not Sure - Youth (Under 12)$10.00
ADULT T-SHIRT (NOT available after July 25th):
Small$25.00
Medium$25.00
Large$25.00
X-Large$25.00
XX-Large$29.00
XXX-Large$32.00
(Clear Selection)

Name of Paid Guest Attending

Guest:
Guest:
Guest:
 
Villages of Van Buren, Inc. is a non-profit organization established to coordinate and promote activities directed toward improving the economic conditions of all areas of Van Buren County. Bike Van Buren is an annual event held to raise funds to help facilitate the organization's mission. Therefore, in consideration of being allowed to participate in the Bike Van Buren event, you acknowledge:

NON-REFUNDABLE: All fees are NON-REFUNDABLE. Bike Van Buren is a fundraising event that is intended to promote the Villages of Van Buren County. This event occurs rain or shine.

PARTICIPATION: Participation in this event does involve risks. A signed waiver and release of liability will be required by all participants.

You may contact us for any reason at the Villages of Van Buren office at 800-868-7822 or info@villagesofvanburen.com

BY CLICKING TO ACCEPT THE TERMS AND CONDITIONS, YOU REPRESENT THAT YOU HAVE READ, UNDERSTOOD, AND AGREED TO BE BOUND BY THESE TERMS.

  I Agree 

    Required Field(s)