Rider Fee $150.00 Until May 31st
Please note – $175.00 after June 1st.

Fee includes:

• Pat’s Pedaling Pack 2020 t-shirt
• Food & drink stations on the route
• Beer and beverages at the finish line
• 4-hour post ride party
• A donation to Pat Mac’s Pack, raising funds for pediatric brain tumor research and for direct financial assistance to young cancer patients and their families.

• Rider Info

• Username*
• First Name*
• Last Name*
• Address
• Address 2 (Optional)
• City
• State Choose your stateAlabamaAlaskaAmerican SamoaArizonaArkansasCaliforniaColoradoConnecticutDelawareDistrict of ColumbiaFloridaGeorgiaGuamHawaiiIdahoIllinoisIndianaIowaKansasKentuckyLouisianaMaineMarylandMassachusettsMichiganMinnesotaMinor Outlying IslandsMississippiMissouriMontanaNebraskaNevadaNew HampshireNew JerseyNew MexicoNew YorkNorth CarolinaNorth DakotaNorthern Mariana IslandsOhioOklahomaOregonPennsylvaniaPuerto RicoRhode IslandSouth CarolinaSouth DakotaTennesseeTexasU.S. Virgin IslandsUtahVermontVirginiaWashingtonWest VirginiaWisconsinWyoming
• Zip
• Cell Phone Required phone number format: (###) ###-####
  
• E-mail*
• Gender
  • Male
  • Female
• Birthdate
• Upload Photo (Optional)Upload JPEG or PNG
• Bio/Message (Optional) This message will be displayed in the Rider Profile page. If left blank default copy will be inserted.

• Emergency Contact Info

• Emergency Contact Name
• Relationship
• Emergency Contact Phone Required phone number format: (###) ###-####
  

• Extras

• T-Shirt Size Choose your sizeMLXLXXLXXXL
• Will you be golfing?
  • YES
  • NO
  • MAYBE
  Golf will be a noon shotgun start at Michigan City Municipal Course on Saturday June 27th. Participants will pay greens fee on the day of the event.

• Waiver and Release

• I have read and accept the Agreement, Waiver and Release.*
• I understand that the Agreement, Waiver and Release is a release of liability and I voluntarily agree to accept its terms and to be bound by it. I understand that I am giving up substantial rights.*
• By checking this box I agree that I am electronically signing the Agreement, Waiver and Release and intend by this action to sign and be bound by such signature.*
• I will wear a helmet.*
• I will not be protected from traffic, and am riding on my own in regard to support and safety.*
• I will not drink alcohol or take drugs that could impair my ability to ride safely.*
• I will bring 2 extra inner tubes and a method of inflation in the event I suffer a flat tire.*

• You are registering for:

  Pat's Pedaling Pack 2020 Rider - $1 / 1 Year

  Select a Payment Method

  Manual/OfflinePayPal

  No payment methods are available for the selected subscription plan.

• Set Your Password

• Password* Minimum length of 8 characters.
  The password must have a minimum strength of Medium.Strength indicator
• Repeat Password*