Horrible Hundred 2016

HORRIBLE HUNDRED 2016

November 20, 2016

CYCLING AND FITNESS EXPO

November 19 + 20, 2016

REGISTRATION TIMES AND COSTS
Pre-registration closes on November 17, 2016 at 8 p.m.
Registration fees: $45.00 pre-registration until November 17, $50.00 Saturday, November 19, $55 day of the event.
Register by November 6th to receive a free T-shirt or Polar bottle.
Florida Freewheelers members receive a $5 discount on their Horrible Hundred registration if they register on-line.
Please use this page to register.
ONLINE REGISTRATION
If you use this form, you must pay with a Credit Card.
We accept the following Credit cards Visa MasterCardAMXDisc

You will receive an e-mail confirmation when your payment is accepted.
One entry form per person. Rain or shine event. No refunds.
Each adult rider must sign the release below. Entrants under 18 must have parent or guardian signature.

The Horrible Hundred is a recreational ride and cyclists of all abilities are welcome.
Contact Information
First Name
Last Name
Age (if any rider under 18)
Address
City
State
(i.e. FL)
Zip
Phone #
(Enter phone # without dashes or spaces i.e. xxxxxxxxxx)
E-Mail
Emergency Contact
Emergency Phone
(Enter phone # without dashes or spaces i.e. xxxxxxxxxx)
Comments
Route Preference
check one:
  • 35 Miles
  • 70 Miles
  • 100 Miles
Meal Preference:
  •   None
  •   Vegetarian
Apparel:
2016 Horrible Hundred Shirt or Polar Water Bottle
Click for shirt design
Select T-Shirt Size
or Polar Water Bottle:
  • S
  • M
  • L
  • XL
  • XXL
  • Water Bottle
 
(availability may be limited after November 6, 2016)
Extra Cost Apparel:
2016 Horrible Hundred Jersey - $60 each
Click for sizing chart - Click for jersey design
Jersey:
  • No Jersey
Men's Jersey Race Cut:
  • XS
  • S
  • M
  • L
  • XL
  • XXL
  • XXXL
Men's Jersey Sport Cut
(Relaxed Fit):
  • XS
  • S
  • M
  • L
  • XL
  • XXL
  • XXXL
Women's Jersey Race Cut:
  • XS
  • S
  • M
  • L
  • XL
  • XXL
Women's Jersey Sport Cut
(Relaxed Fit):
  • XS
  • S
  • M
  • L
  • XL
  • XXL
 
Not all sizes are available after September 28.
You must pick up your jersey at rider check-in. Jerseys will not be shipped.
Display Preference:
  • Do not publish my name and city on the website roster list.
Agreement:
I understand that the Florida Freewheelers, Inc. are not insurers of my personal safety or liability during the Horrible Hundred bicycle tour or any associated activities for which I am registered. I hereby release and forever discharge and hold harmless Florida Freewheelers, Inc., its members, agents, servants, representatives, successors, sponsors, volunteers and assignees from all liability (personal and property), including liability for negligence, 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 fully comply with all applicable laws and traffic regulations; to conduct my activities in a safe and prudent manner; to wear an approved bicycle helmet and to not use headphones while riding. I further grant consent to permit emergency medical treatment if needed.
For more information email horriblehundred@floridafreewheelers.com or call 407-901-9979
MAIL-IN REGISTRATION
Click here to download the Mail-In registration form.
Please print and send this form with your $45 registration fee.
One entry form per person.
Make checks payable to: Florida Freewheelers, Inc.
Mail to: Event Director · PO Box 951173 · Lake Mary, FL 32795.
The Horrible Hundred is a rain or shine event. No Refunds.

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