Bennington College

One College Drive

N. Bennington, VT 05201

2008 Registration Form—OR register online at active.com or bikereg.com. Mail completed form to address below.

First Name:________________________________________

Last Name:________________________________________

Address:_______________________________________________

Email:_________________________________________________

Phone:__________________________________________________

Emergency Contact: Number on 8/23:_______________

Route Options Price

You are welcome to change your route options on the day of the ride but we ask that you select a route at this time for our planning purposes.	Reg. Dated on or before 8/1/08	8/2/08 - Day of Registration
13-Mile Bridge and Monument Loop 12 & OVER	$30.00	$40.00
13-Mile Bridge and Monument Loop 12 & UNDER	FREE w/registered adult	FREE w/registered adult
35-Mile Two State Tour 12 & OVER	$40.00	$50.00
35-Mile Two State Tour 12 & UNDER	FREE w/registered adult	FREE w/registered adult
67 Mile Watershed Challenge	$40.00	$50.00
TANDEM Bridge and Monument Tour	$50.00	$60.00
TANDEM Two State Tour	$60.00	$70.00
TANDEM Watershed Challenge	$60.00	$70.00

Yes, I would like to purchase _____(Qty) 2008 HRR Jersey(s) @ $65.00.

Please order me a: women’s/men’s (circle one) in size: SM MED LRG XL

Jerseys run small, please see www.champ-sys.com for sizing information. Jerseys ordered after July 25 may not be available until after the ride. If you would like to raise $250 for one, please indicate the size here and let Lisa know (contact info below).

If you plan to bring guests, additional meals are $5.00 per person.

Yes, I would like ______(Qty) meals.

Total Due: Registration Fee + Jersey (Optional) + Extra Meal (Optional)-Less $5.00 for HooRWA members: $____________

Please make checks payable to: HooRWA and mail to Atten: Hoosic River Ride, PO Box 667, Williamstown, MA 01267. Questions? Call Lisa @ (413) 458-2241. THANKS FOR YOUR SUPPORT!!