ONLINE REGISTRATION

 

Registrant Information

EARLY REGISTRATION: $15.00 (before June 1st)        LATE REGISTRATION: $20.00 (Postmarked after June 1st)

First Name: Last Name:
Mailing Address: Email:
City: State:
Zip:      Home Phone:           Male      Female

EMERGENCY INFORMATION
Emergency Contact Name:    Phone:
 
Special Family Rate:   Each adult pays full price. Children, age 18 and  younger, riding with parents 1/2 price.
Children in buggies or bike seats must wear helmets!
Children riding MUST have separate registration form.
Small children in bike seats or being pulled ride FREE, and do not require separate registration form.  

 To help achieve a more accurate participation count, please indicate number of non-registered children in family. 

Ride Information

Which tour have you chosen to ride?  

 

Are you a returning participant in Tour de Corn?  

If yes, please indicate year(s).

  2002    2003    2004    2005    2006    2007

 Lunch Information

A Spaghetti Lunch will be served at the Family Life Center following the ride.   This will include pasta, salad, bread, drink and dessert. Prices are $6.00 for Adults and $3.00 for children.

Please do not send money, patrons will pay at the door. Please check box below if you will be eating the lunch served. Then choose your sauce.

         

 

T-Shirt Information

If you are interested in purchasing a 2008 T-shirt, please fill out the form below.
Shirts will be available the day of the ride, but quantity is limited.
(3XL is special order only!)
Youth Size Adult Small thru X-Large Adult 2XL *Adult 3XL

$14.00 each

$16.00 each

     $17.00 each

$18.00 each

10-12      14-16

Small   Med    Large   XL

2XL 

3XL 

Total Amount Due for T-Shirts:  

Payment

Please indicate how you will be paying for your T-Shirt and Tour Registration.
 

 

PLEASE DO NOT SEND CASH!!
 

Payment Options
1. Send payment to address below.
2. Pay at the Main Street Party the night before the ride.
3. Pay at the registration table the day of the ride.

 
 
Mail entries to:
Tour de Corn
PO Box 99
East Prairie, MO 63845
 

Checklist

1. Complete form and click Submit
2.  Complete release waiver, sign and date.

3. Make checks payable to Tour de Corn.  Include fees of T-shirt and or Jersey and Registration.

4. Mail Release Form and payment to Tour de Corn.

NO REFUNDS.....RAIN OR SHINE.....

AFTER COMPLETING REGISTRATION, PLEASE CLICK SUBMIT.