Home Registration Registration Form
Registration
Personal Information
First Name (*)
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Last Name (*)
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Address (*)
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City (*)
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State (*)
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Zip/Post Code (*)
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Work Phone (*)
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Home Phone (*)
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Cell Phone
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Fax
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Email (*)
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Are You a Cyclist or Non-Cyclist?
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Main Contact - Arrival Information
Arrival Date at YCI
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Arrival Airline
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Arrival Flight Number
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Flight Arrival Time at Airport
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I Want Airport Pick-up
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If Yes, Which Airport (Taxi Fee Will Apply)
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Estimated Arrival Time at YCI (By Car or Train)
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Main Contact - Departure Information
Departure Date From YCI
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Departing Airline
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Departing Flight Number
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I Want Airport Drop-off
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If Yes, Which Airport(Taxi Fee Will Apply)
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Departure Time from YCI (By Car or Train)
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Accomodations:
I Will Room with Another Cyclist or non-cyclist:
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If Known, Please State Name
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Note: All rooms are for two persons, in the instance of children, an additional bed can be supplied
I Wish to Have a Single Room (Note: 25 Euro per Day Extra)
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Health & Emergency Contact
Do you have any medical conditions that put you at risk?
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In case of an Emergency, Please Notify:
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Daytime Phone
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Cell/Mobile Phone
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Rider Information
How Many Years Cycling?
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I am Interested in the Following Ride Catagory:
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Are You Currently a Competitive Cyclist?
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If so, What Discipline?
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Bicycle Information
I Will Bring My Own Bicycle
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I Will Rent an Italian Bicycle
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If renting an Italian bicycle please provide the following information
My Height (cm)
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My Inseam (cm)
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My Bicycle Top Tube (cm)
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My Current Frame Measurement (cm)
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My Stem Length (cm)
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Saddle to Handle bar Reach (Tip of Saddle to Center of Stem cm)
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Daycare
I am Interested in Daycare (Daycare Fees Apply)
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For How Many Children/Infants
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What Ages
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Liability Waiver & Agreement
Agreement
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By entering "submit" you are affirming that you have read and that all parties agree to the terms of our Liability Waiver and Agreement.
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