KBC Bike Camp - PayPal Application

Registration type:
Individual ($50 on or before May 1, or $60 after)
Family ($60 on or before May 1, or $70 after)

Entry fee includes a one-year membership to the KBC, a $13-$17 value (existing memberships will be extended), and includes automatic entry into the KBC KalTour bicycle tour, a $15 to $30 value.

Contact information (all fields required):
First Name(s) Last Name(s) Age(s)
Primary Rider
Family member 2
Family member 3
Family member 4
Family member 5

Mailing Address:
City:   State:   Zip:
Phone:    E-Mail:
Emergency Contact Name:
Emergency Contact Phone:

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