Your Name (required) Your Age (required) Gender MALEFEMALE Your Email (required) Who is your team captain (if it is you, please write your own name): Team Name Don’t have a team yet? Check this box if you’d like to sign up as an individual! We will do our best to place you on a team. Sign up as an individual Choose 2 preferred time slots: 5:00 - 5:30PM5:30 - 6:00PM6:00 - 6:30PM6:30 - 7:00PM7:00 - 7:30PM7:30 - 8:00PM8:00 – 8:30PM 112 MAX | 28 teams This is our 5th year Hosting Cycle for Carley’s Angels. Check below box if you have been a cyclist the last 4 years. We have a special surprise for you! Yes Any Special Considerations? Registration Options and Prices Please choose one, then proceed to check out for payment Regular - $50Registration + Self Pledge (Includes Cycling Jersey) - $100Registration + Super Self Pledge (Includes Cycling Jersey + Carley’s Angels Swell Bottle) - $150
