2025 B1 Gran Fondo Genesis Loyalty Reg

First Name

Phone Number

Emergency Contact

Emergency Contact Number

Last Name

Address

Date of Birth required

Any and all riders under the age of 18 will be asked to and must have a parent or guardian sign a separate waiver

What Club do you currently ride with, if any?

Medical Conditions or Allergies in case of Emergency

Select Ride Stage

Corto Ride ($65 + HST) - C$73.45

Lungo Ride ($65 + HST) - C$73.45

Non-Rider Dining Only ($30 + HST) - C$33.90

Car & Driver ($80 + HST) - C$90.40

Car, Driver + 1 Guest ($120 + HST) - C$135.60

I agree to the terms & conditions and acknowledge that fees are non-refundableView terms of use

Your Signature

Please do not press the checkout button more than once.

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