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Hellbender Registration Form

Electric assist bikes are welcome, along with participants of all ages and experience levels.

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Categories

Individual Rider - $85.00

Participant Information

Contact Email *

Participant First Name *

Participant Last Name *

Participant Birthdate *

Participant Gender *

Male

Female

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 Name *

Emergency Phone *

Affiliated Club, Team, or Organization

add new team

Please select which route you will participate in: (Select exactly 1 options)

Please visit 'Route Maps' under 'Ride Info' on the header to see each route

35-Mile

50-Mile

80-Mile

Will you be riding an E-Bike? (Select exactly 1 options) *

Yes

Please select your t-shirt size: *

Make a Donation

Greater Lansing Area Development
click here, to learn more about this cause

Amount $

Harnessing Lansing's potential and facilitating environmental awareness, economic growth, recreation, and a sustainable lifestyle in the town while preserving its historic integrity and charm.

Payment Details

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