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You are registering for the 2012 Sierra to the Sea Bicycle Tour with the Lake Tahoe Prologue Option


Which Tours Registering For (Required) Sierra to the Sea Tour is FULL, Accepting Standby Only. Lake Tahoe Prologue Tour is Full - No Standy.
Sierra to the Sea Only (Tour fee is $695 plus options, June 16-23, 2012)

Payment Method Person making payment


Your Name and Contact Information (Required) First      Middle      Last 

Nickname to use on bicycle tag    First name will be used if left blank

Street address

City    State    ZIP

E-mail (to confirm your registration)  

Confirm you E-mail (must match)       

Telephone w/area code: Daytime         Evening   

 I would like to be able to check my registration status online, so you may show my name, city, state, and registration status on the website (Others will see it too),

 I would like to be included in a roster listing name, address and email distributed after the tour to all guests (will not be posted online)


Vital Statistics and Other Data (Required)

Age:    All minors (younger than 18) must be accompanied by a guardian at all times and a guardian must sign a release and waiver of liability agreement on behalf of the minor.

Gender  Male  Female.

Are you a member of ACTC?    

How many SttS tours have you already done? Are you working as a member of the Sierra to the Sea staff? 


Emergency contact information (Required) 

Emergency contact #1 (not riding tour)

(Please enter available phone numbers below / that are most likely to result in a timely successful contact in case of emergency)
Relationship
Phone Day   Phone Eve   Phone Cell  

Emergency contact #2 (not riding tour)


Relationship
Phone Day   Phone Eve   Phone Cell  

Medical insurance provider

Emergency contact riding tour, if any:   


About your bicycle and transportation (Required)

Bicycle type: single  recumbent tandem   Name of tandem partner:

The Tour will transport your bike by truck from San Jose to Bear Valley and back to San Jose from San Francisco. If you need this service, please indicate how you plan to protect your bike during shipment.  Since bike cases do not fold flat, transporting these incurs an extra fee.

Cardboard bike box

Soft bike bag (collapses for storage)

No Container. We will use blankets to protect your bike during transport but you will need to sign a waiver against damage.

Bicycle case, either hard or soft sided ($25 storage fee required). 

Will not need this service because I am bicycling or driving.  Please specify:

Will you need a seat on the charter buses? 

I wish to reserve the bus from San Jose to the ride start (fee is $35 to Bear Valley OR $50 to Lake Tahoe)

I wish to reserve the bus from the ride end to San Jose   (fee is $20 from San Francisco or $20 from Bear Valley)

(If you reserve a seat on the bus, and later find that you won't need it, please notify the Registration Coordinator as soon as possible)


Cycling jersey for those on Sierra to the Sea 7 day and 10 day tours only

Each rider on the Sierra to the Sea tour will receive a commemorative cycling jersey.  Please specify type and size:

Male or Female Style:    Jersey Size: 

Optionally purchase a Sierra to the Sea T-shirt for $15

Male or Female Style:   T-shirt Size: 


How did you hear about Sierra to the Sea? (Optional)

ACTC member            Previous participant          ACTC website   Sierra to the Sea website

Friend who did SttS (name)  

Another club (please specify name & state) 

Publication (please specify) 

Other


Release and Waiver of Liability (Required)

Please read the waiver carefully: (version for printing)

.

Comments or special requests:  (please do not use quotation marks or tabs, as these confuse our database)

Before clicking the Submit button below, you may wish to print this page for your records.

  Important: You must click on the Submit button after filling in these fields or your information will not be sent to us!

  Copyright © 2012 Almaden Cycle Touring Club (ACTC).  All rights reserved.   ACTC is a not-for-profit organization based in San Jose, California