Make checks payable to Watauga Red Cross
Mail to: Blood Sweat and Gears, c/o eNetFirst, Inc., 1002 Maple Street, Carrollton, Ga 30117

Rider's Name___________________________ Address_________________________________
City____________________________________ State________ Zip______________ Sex____

Rider's Cellphone__________________________ Home Phone__________________________
Work Phone___________________________ Email Address____________________________
Emergency Contact_____________________ @ Emergency Phone # ____________________

Rider's Birthdate________________      Circle One:   50mile ride

TANDEMS ONLY   Stoker's Name ____________________ Birthdate ______________ Sex____

2010 BSG Registration and Options Workbox
ITEM	DETAILS	QTY/PRICE	SUBTOTALS
Rider Fee	$55 for Singles   $82.50 for Tandems	Qty One(1)	$
Rider 2010 T-Shirt	Circle Size  YTH LG    S    M    L    XL    XXL	Qty One(1)	Included
Stoker 2010 T-Shirt	Circle Size  YTH LG    S    M    L    XL    XXL	Qty One(1)	Included
2010 Jerseys	SEX M or F / Size ____ / CUT Race or Club	#____@ $89.00	$
T-shirts guaranteed to pre-registered riders only.
Add'l 2010 Event SS T's	Size ____ Size____ Size ____ Size____	#____@ $12.50 ea	$
2008 Logo Cycling Hats	1/$8.50    2/$16    3/$23	Quantity _____	$
Pictures of the hats can be seen at the BSG [Online Store]
GRAND TOTAL INCLUDED (checks and money orders only) Payable to Watauga Red Cross			$

By affixing my signature I attest that I have read and agree to the BSG Liability Waiver at this internet URL:
http://www.bloodsweatandgears.org/main/waiver.htm,
and I further agree to sign waivers as necessary at registration, including a copy of the BSG Liability Waiver.

Signature____________________    Guardian sign here if under 18____________________

TANDEM ONLY
Stoker Signature____________________   Guardian sign here if under 18____________________

Ride Starts at 7:30 am June 26, 2010 - Ride will be held rain or shine - NO REFUNDS!
Sag stops and mechanical assistance provided on all routes.
Courses will be marked and maps provided.