ONLINE REGISTRATION

 

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

 

Registrant Information

First Name:

Last Name:

Mailing Address:

 Email:
City:

       State:          Zip:     
Home Phone:                                                                Male             Female
 

EMERGENCY INFORMATION

Contact Name:                                                                                Phone:

 

Adults pay full price. Children (age 18 and younger riding with parents) are ½ price. Children riding MUST have separate registration form. Small children in bike seats or carts are FREE; and do not require a separate registration form, but should be listed on waiver form.

 To help achieve a more accurate participation count, please indicate number of children in family that will be riding for free . 

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    2008 2009

 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 spaghetti lunch.

          

 

T-Shirt Information

If you are interested in purchasing a 2010 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:  
 

** Jersey's can be ordered by clicking on the link on the front page of the Tour de Corn website**

 

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, waivers and/or payment to:
Tour de Corn
PO Box 99
East Prairie, MO 63845
 

Checklist

1. Complete form, and click Submit.
2.  Print and fill out release waiver.

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

4. Mail Release waiver and payment(s) to Tour de Corn.

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

AFTER COMPLETING REGISTRATION, PLEASE CLICK "SUBMIT QUERY" .