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Glow Ride Registration Form

Purchase before November 19th to get the T-shirt.... NO T-Shirt after 11.16.25

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Participant Information

Contact Email *

Participant First Name *

Participant Last Name *

Participant Birthdate *

Participant Gender *

Female

Male

Country *

Street Address (w/Apt#) *

City *

State *

Zip Code *

Phone *

Would you like to receive important event text alerts on this number (eg. changes or delays)?

Emergency Contact *

Emergency Phone *

Select the size of your free event T Shirt *

Fundraising Team * new fundraising team

Affiliated Club, Team, or Organization

add new team

WheelGlow Wheel Light $32.71

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Supplies full wheel illumination for 700c/29in wheels and smaller
Approximately 40 hrs of battery life
Water resistant design
Includes 3 (AA) batteries
Sold individually (1 wheel)
Easy to install

Blue $32.71 (20 left)

Red $32.71 (20 left)

Green $32.71 (20 left)

DISCO Multi color $32.71 (20 left)

Pink $32.71 (20 left)

White $32.71 (20 left)

Trek, front and rear rechargeable lights $49.99 to $92.99

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1)Trek Ion 50 R Flare R Metro Bike Light Set -
A versatile USB rechargeable bike light set designed to help riders stand out after dark.
2)Trek Ion 100 R/Flare R City Bike Light Set -
Here to help you see and be seen on city streets and paths, day or night.
3)Trek Commuter Comp R Flare R City Bike Light Set -
A light set with Kindbeam, designed to keep light on the path ahead and out of oncoming riders' eyes.

50 lm front 20 lm rear $49.99 (20 left)

100 lm front 35 lm rear $84.99 (20 left)

450 lm front 35 lm rear $92.99 (20 left)

Custom Socks (Bicycles International) $15.89

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Hi Vis yellow

S $15.89 (20 left)

M $15.89 (20 left)

L $15.89 (20 left)

XL $15.89 (20 left)

Black

S $15.89 (20 left)

M $15.89 (20 left)

L $15.89 (20 left)

XL $15.89 (20 left)

Red

S $15.89 (20 left)

M $15.89 (20 left)

L $15.89 (20 left)

XL $15.89 (20 left)

Extra Raffle Tickets

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Extra Raffle Tickets
Want to boost your chances of winning? Add extra raffle tickets to your registration!

Each ticket gives you another shot at winning awesome prizes, gift baskets, and giveaways donated by local businesses and supporters u2014 all to help raise money for our community programs and cycling initiatives.

All proceeds from extra ticket sales go directly toward supporting the cause.
The more tickets you buy, the more fun (and chances to win)!

Enter quantity $10 (500 left)

50/50 Raffle Ticket $5 to $20

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ud83dudcb0 50/50 Raffle Ticket
Try your luck in our 50/50 Raffle u2014 half the total pot goes to the winner, and the other half goes to support the Glow Ride's mission of promoting cycling and giving back to our local community.

Each ticket gives you one entry to win CASH u2014 the more people who enter, the bigger the prize!

Winner will be announced during the post-ride celebration. Must be present to win.

1 - 50/50 Raffle Ticket $5 (1000 left)

3 - 50/50 Raffle Ticket $10 (1000 left)

10 - 50/50 Raffle Ticket $20 (1000 left)

Make a Donation

We will be providing The Haven and special Olympics with FREE bicycles and repairs! Would you like to add to your donation?
click here, to learn more about this cause

Amount $

This year we will be donating to The Haven for the maintenance and purchase of new bicycles and tricycles for the program! And as always proving bicycles and maintinace to kids in need of assistance to be able to enjoy a bicycle.

Waiver *

I have read and agreed to the TERMS *

CLICK HERE TO VIEW THE TERMS.

Is the participant 18 or older? *

18 or older Under 18

Do you want to be added to our mailing list for updates on upcoming events?

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