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Legacy Bike Ride Registration Form

Stockton Foundation

Legacy Fund Bike Ride
Saturday, June 7, 2014, 8:00 a.m. start (rain or shine)
Net proceeds will benefit the G. Larry James Legacy Endowed Scholarship Fund
Course: Scenic, flat, out and back, through New Jersey’s beautiful Pine Barrens
Location: The Richard Stockton College of New Jersey, Campus Center, 101 Vera King Ferris Drive, Galloway, NJ 08205
Distance Options: 12, 30, or 62 miles (metric century)
Bike Ride Course Map: click here to view/download
Lunch provided courtesy of Primo's Pizza

New Team Fundraising Competition: Form a team and help raise more money for scholarships. Limit 10 riders to a team. Team raising most money receives gift certificates. List your team name on the registration form and have donations forwarded in your name. See "do more" instructions below for electronic donations.

Registration: $30 fee by June 3, 2014. If you are registering 2 riders, then fee is $55. Helmet required. Full waiver to be completed on site.
Do more: Get family and friends to donate in your name and raise more money for the Legacy Fund. Donations are easy, just have them go to www.stockton.edu and click on the "Give" link at the top of the page. Complete needed information and click the Legacy Fund button.
Late Registration (after June 3):  $40, shirt size not guaranteed.
Mailing in Registrations Only:  Craig Stambaugh, The Richard Stockton College of New Jersey, 101 Vera King Farris Drive, Galloway, NJ 08205
Make checks payable to: Richard Stockton College Foundation/Legacy Fund
Ride Check-In/Registration:  Begins 6:45 a.m. Ride starts at 8:00 a.m. All riders must finish the ride or vacate the course by 2:30 p.m. For additional ride information email Ride Coordinator at craig.stambaugh@stockton.edu.

 
Name:

Title

First

Last
Address:

Street Address

Address Line 2 (optional)

City

State

Zip
Phone:

(ex. 555-555-5555)
Email:

* All fields above are required except "Address Line 2".

Ride Length:   12 miles   30 miles   62 miles
T-Shirt Size:   Adult - S   M   L   XL   XXL
Child - S   M   L
Second Rider Info -
Rider Name:  
E-Mail:  
Ride Length:   12 miles   30 miles   62 miles
T-Shirt Size:   Adult - S   M   L   XL   XXL
Team Info (if any) -
Team Affiliation:  
Team Captain:  
Fee Amount (see above):   $

I would like to pay by: Mail-In   Credit Card  
Information for completing your payment and a confirmation screen will appear on the following pages.