On-Line Registration $35

Payment is with Google Checkout and Credit Card Only

Please fill out the form below.
Click Submit to Process Application

Yes Publish my name and city on the website roster list
Your email will be used to relay event information.
Check here if you wish to opt out of receiving email for non-event purposes.
35   70   100
S   M   L   XL   XXL   or Polar Water Bottle
(Limited availability after November 1st)
    Sorry Sold Out
    Sorry Sold Out

I understand that the Florida Freewheelers, Inc. are not insurers of my personal safety or liability during this event or associated activities. I thus release them and agree to hold harmless Florida Freewheelers, Inc., its members, agents, servants, representatives, successors, sponsors, volunteers, and assignees from any and all liability ( personal and property) arising out of or connected in any way with my participation in this event (or my minor child’s participation in this event). I also agree to conset to permit emergency medical treatment as needed. I further agree to fully comply with all applicable laws and traffic regulations; to conduct my activities in a safe and prudent manner, and to wear an approved bicycle helmet and not use headphones while riding.
By checking this box you have indicated you have read the Release Form.
This will act as your signature.

Verify information is correct before hitting submit to proceed to checkout page.
!!! DO NOT HIT SUBMIT twice or click REFRESH !!!
or you will create duplicate entries.