Groovy Gourd Bike Tour

Saturday, September 23, 2017
Early Registration Deadline is September 17

Registration and Start Time
8 :00 – 9:30 am

City of Piqua Municipal Government Complex
201 W. Water Street
Piqua, OH  45356
.

Check In at the registration booth before the ride to receive map or
other information.  Same day registration will start promptly at 8 a.m.

 All riders must complete the tour by 2 p.m.

Route Maps provided on day of tour.  All routes marked clearly well
before, at, and after ALL turns.

Rest Stops with fresh fruit, snacks and hydration will be provided.

Restroom facilities will be available at the Municipal Government Complex. Showers will be available at the Miami County YMCA.

Cell Phones are a good idea to bring on your ride in case of an
emergency.  Emergency phone numbers will be provided the day of the tour.

Helmets are mandatory on this ride.

Every participant in the ride will receive a locally grown gourd or
pumpkin at the end of the tour.

Name:*

First

Last

E-mail:*

Address:*

Street Address City State / Province / Region Postal / Zip Code AfghanistanAlbaniaAlgeriaAndorraAngolaAntigua and BarbudaArgentinaArmeniaAustraliaAustriaAzerbaijanBahamasBahrainBangladeshBarbadosBelarusBelgiumBelizeBeninBhutanBoliviaBosnia and HerzegovinaBotswanaBrazilBruneiBulgariaBurkina FasoBurundiCambodiaCameroonCanadaCape VerdeCentral African RepublicChadChileChinaColombiaComorosCongoCongo (Brazzaville)Costa RicaCote d'IvoireCroatiaCubaCuracaoCyprusCzech RepublicDenmarkDjiboutiDominicaDominican RepublicEast Timor (Timor Timur)EcuadorEgyptEl SalvadorEquatorial GuineaEritreaEstoniaEswatiniEthiopiaFijiFinlandFranceGabonGambia, TheGeorgiaGermanyGhanaGreeceGrenadaGuatemalaGuineaGuinea-BissauGuyanaHaitiHondurasHong KongHungaryIcelandIndiaIndonesiaIranIraqIrelandIsraelItalyJamaicaJapanJordanKazakhstanKenyaKiribatiKorea, NorthKorea, SouthKuwaitKyrgyzstanLaosLatviaLebanonLesothoLiberiaLibyaLiechtensteinLithuaniaLuxembourgMadagascarMalawiMalaysiaMaldivesMaliMaltaMarshall IslandsMauritaniaMauritiusMexicoMicronesiaMoldovaMonacoMongoliaMontenegroMoroccoMozambiqueMyanmarNamibiaNauruNepalNetherlandsNew ZealandNicaraguaNigerNigeriaNorth MacedoniaNorwayOmanPakistanPalauPalestinePanamaPapua New GuineaParaguayPeruPhilippinesPolandPortugalPuerto RicoQatarRomaniaRussiaRwandaSaint Kitts and NevisSaint LuciaSaint VincentSamoaSan MarinoSao Tome and PrincipeSaudi ArabiaSenegalSerbiaSeychellesSierra LeoneSingaporeSlovakiaSloveniaSolomon IslandsSomaliaSouth AfricaSouth SudanSpainSri LankaSudanSurinameSwedenSwitzerlandSyriaTaiwanTajikistanTanzaniaThailandTogoTongaTrinidad and TobagoTunisiaTurkeyTurkmenistanTuvaluUgandaUkraineUnited Arab EmiratesUnited KingdomUnited StatesUruguayUzbekistanVanuatuVatican CityVenezuelaVietnamWalesYemenZambiaZimbabwe Country

I Plan to Ride:*

25

50

Undecided

Registration:*

Select productRegular Registration (after September 17th) - $18

HELMETS ARE MANDATORY ON THIS RIDE

ALL RIDERS 14 AND UNDER MUST BE ACCOMPANIED BY AN ADULT

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Contact Name and Phone Number in Case of an Emergency:

Emergency Contact Name:*

First

Last

Emergency Contact Phone:*

Area Code

 - 

Phone Number

You will be asked to sign a waiver when you sign in on Saturday, September 23rd between 8 and 9:30 at the:

City of Piqua Municipal Government Complex, 201 W
Water Street.

Questions?? Call 937-773-9355 or email info@mainstreetpiqua.com

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