Butakoola Fifty Registration
Please fill out the form below to register for the Butakoola Fifty half century ride and to help raise funds for the sunflower seed expeller mill project! By registering, you are pledging to meet the $250 fund raising goal.
The ride will be Saturday, September 11, 2010 at 8:00AM. Riders will meet at the Hoosier Horse Park. Please see website for directions.
First Name
*
Last Name
*
Home Town, State
Gender
Female
Male
Rather not say.
Age
*
Riders under 18 will need a parent to sign the liability waiver at the event.
Email Address
*
Phone Number
*
Personal Fund Raising Goal
T-Shirt Size
*
Small
Medium
Large
X-Large
Each rider receives an official Butakoola Fifty t-shirt for meeting their $250 fund raising goal.
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