Ride Around the Reservoir 2024 Registration form Name* First Last Address* Street Address Address Line 2 City AlabamaAlaskaAmerican SamoaArizonaArkansasCaliforniaColoradoConnecticutDelawareDistrict of ColumbiaFloridaGeorgiaGuamHawaiiIdahoIllinoisIndianaIowaKansasKentuckyLouisianaMaineMarylandMassachusettsMichiganMinnesotaMississippiMissouriMontanaNebraskaNevadaNew HampshireNew JerseyNew MexicoNew YorkNorth CarolinaNorth DakotaNorthern Mariana IslandsOhioOklahomaOregonPennsylvaniaPuerto RicoRhode IslandSouth CarolinaSouth DakotaTennesseeTexasUtahU.S. Virgin IslandsVermontVirginiaWashingtonWest VirginiaWisconsinWyomingArmed Forces AmericasArmed Forces EuropeArmed Forces Pacific State ZIP Code Phone*Email* Gender*MaleFemaleRide Around the Reservoir - Pre-registration (Deadline: on or before May 10, 2023)* Price: Ride Around the Reservoir - Registration* Price: Online Registration Fee* Price: T-shirt size*SmallMediumLargeX-LargeXX-Large +$2Waiver* Agree In submitting this form for myself or the above named participant, I understand and agree to absolve all sponsors, organizers, and associated entities, Breakaway Bike & Fitness Shop, Inc., be they individuals or organizations, singly and collectively, of all blame for any injury, misadventure, harm, or loss or inconvenience suffered as a result of taking part in the bicycle ride or any activity associated with this event.Total $0.00