Event

April 26-28, 2019
Coastal Ride
Various loop route options offered daily from 10 miles to 100 miles
Edenton, NC

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Cycle North Carolina Coastal Ride Registration Form

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Price Schedule

	thru 11/15/2018	final
Adult Rider (17 & up)	$185	$235
Adult Non-Rider (age 17 & up)		$75
Child Rider (age 4-16)		$45
Child Non-Rider (age 4-16)		$25

Categories*

Adult Rider (17 & up) - $235.00

Adult Non-Rider (age 17 & up) - $75.00

Child Rider (age 4-16) - $45.00

Child Non-Rider (age 4-16) - $25.00

Already Registered but Want to Add a Jersey

Participant Information

Email *

Participant First Name *

Participant Last Name *

Participant Birthdate *

Participant Gender *

Male

Female

Country Address

Street Address *

City *

State *

Zip Code *

Phone *

Emergency Contact Name *

Emergency Phone *

Select the size of your free event apparel *

Performance Blend Event Shirt until 03/29/2019

Additional Profile Information

Is this your first Cycle NC Coastal Ride? *

Yes

How many other CNC Coastal Rides have you participated in?

1-3

4-7

8-10

10+

All 15 of them!

Please list any medical issues or concerns.

For statistical purposes, please list your Employer and Title. This information is for internal use only. *

Would you be interested in Volunteering during the Coastal Ride Weekend? *

Yes

Do you wish to be a part of the CNC Volunteer Medical Team? *

Yes

Please enter your medical credentials and the best number to reach you during the ride.

Do you wish to receive Text Messages during the ride? *

Yes

Please enter your mobile number.

Accommodations

Where are you staying while at the Coastal Ride? *

Please select where you are staying. *

Hampton Inn Edenton

America's Best Value Inn

Coach House Inn

The Cotton Gin Inn

Granville Queen Inn

Captain's Quarters Inn

The Inner Banks Inn

Other

What Size RV/Trailer do you plan to bring? *

Under 30 feet long - $25.00

31 feet and over - $35.00

Please list where you are staying if it's not listed above.

All RVs will park at John A. Holmes High School located at 600 Woodard Street in Edenton.

What other arrangements have you made? *

CNC Social and Catered Meal

In an effort to minimize wait times, we will be utilizing time slots for the free 2019 Cycle NC Coastal Ride catered meal being held on Saturday, April 27. Should you need to change your time slot after registering, you may do so pending availability by e-mailing us at cyclenc@ncsports.org. The deadline to change your time slot is on or before April 15.

Please select your preferred time slot from the options below.

4pm to 5pm (231 left)

5pm to 6pm (not available)

6pm to 7pm (not available)

7pm to 8pm (236 left)

Will not attend the meal

CNC Social and Catered Meal Ticket for Friends and Family $13

Guest meal tickets allow participants to bring non-registered family members or friends to the Cycle NC Social and Catered Meal. Each ticket purchased will be for the same time slot you selected to be a part of in the previous question.

Enter quantity

2019 Coastal Ride Merchandise and Apparel

Extra Coastal Ride Performance Blend Event Shirt $15

Please enter the quantity(s) of extra shirts you wish to purchase. All participants will receive a participant shirt with registration.

XXL

XXXL

Men's Coastal Ride Cycling Jersey $70

Universal Club Cut Cycling Jersey by Primal Wear - DESIGN COMING SOON!

Features:
Elastic Option - Sleeve: Sleeve - Elastic
Elastic Option - Waist: Waist - Elastic
Fabric Option: SpeedPro
Pocket Option: 3 Rear Straight Pockets
Stitch Option: Traditional Stitch
Zipper Option: YKK Full Hidden

XXL

XXXL

Women's Coastal Ride Cycling Jersey $70

Women's Specific Club Cut Cycling Jersey by Primal Wear - DESIGN COMING SOON!

Features:
Elastic Option - Sleeve: Sleeve - Elastic
Elastic Option - Waist: Waist - Elastic
Fabric Option: SpeedPro
Pocket Option: 3 Rear Straight Pockets
Stitch Option: Traditional Stitch
Zipper Option: YKK Full Hidden

XXL

XXXL

Women's Coastal Ride SLEEVELESS Cycling Tank Top Jersey $75

Women's Specific Tank Top Cycling Jersey by Primal Wear - DESIGN COMING SOON!

Features:
Additional Option: Inner Shelf Bra
Elastic Option - Sleeve: Sleeve - Folding Band
Elastic Option - Waist: Waist - None
Fabric Option: Q3
Pocket Option: 2 Rear Straight Pockets
Stitch Option: Traditional Stitch

XXL

XXXL

2019 Coastal Ride Refund & Cancellation Policy

A No Refund Policy is in effect for the 2019 Cycle NC Coastal Ride unless you purchase the Cycle NC Coastal Ride Cancellation Protection.

I have read and agree to the following merchandise refund policy: A No Refund Policy is in effect for all 2019 Cycle NC Coastal Ride merchandise unless you purchased the Cycle NC Coastal Ride Cancellation Protection. *

I have read and agree to the refund policy. *

2019 Cycle NC Coastal Ride Cancellation Protection (Optional)

Cycle NC offers the option to purchase Coastal Ride Trip Cancellation Protection for the 2019 Coastal Ride. The Cancellation Protection covers all purchases made at any time during the registration process but only covers expenses made directly to Cycle NC. It does not cover expenses such as flight reservations, car rentals, third party vendor services, etc. It is only valid for the 2019 Cycle NC Coastal Ride and cannot be refunded or transferred to another participant. You are only able to purchase Coastal Ride Trip Cancellation Protection during the registration process.

If you purchase the Cancellation Protection and find yourself unable to attend the 2019 Coastal Ride for any reason, you have until 5pm on Tuesday, April 23rd to send written notification of your need to cancel to the CNC office by. Cancellation notifications can be e-mailed to cyclenc@ncsports.org. All refunds will be issued in the form of a check and will be mailed no later than one month after the completion of the event.

Do you want to Purchase the Cancellation Protection? *

View Privacy Policy View Refund Policy

Make a Donation

North Carolina Amateur Sports

Donation $

NCAS is a 501(c)(3) nonprofit, charitable organization. Your contribution is tax deductible under the guidelines of the IRS. All donations assist with keeping registration fees as low as possible and with aiding us in carrying out our mission of promoting health and wellness for all ages and skill levels.

Waiver

In consideration of being allowed to participate in any way in North Carolina Amateur Sports and Cycle North Carolina
related events and activities, the undersigned acknowledges, appreciates and agrees that:

1. The risk of injury from the activities involved in Cycle North Carolina is significant, including the potential for permanent paralysis and death; and,

2. I knowingly and freely assume all such risks, both known and unknown, even if arising from the negligence of the releasees or others, and assume full responsibility for my participation; and,

3. I willingly agree to comply with the stated and customary terms and conditions for participation. If however I observe any unusual significant hazard during my participation, I will remove myself from participation and bring such to the attention of the nearest NCAS/Cycle North Carolina representative; and,

4. I, for myself and on behalf of my heirs, assigns, personal representatives and next of kin, hereby indemnify and hold harmless NCAS/Cycle North Carolina, their officers, officials, agents and/or employees, volunteers, other participants, sponsoring agencies, sponsors, advertisers and if applicable, owners and lessorss of premises used to conduct the event.

5. I grant to North Carolina Amateur Sports my permission to use without charge any and all photographs, video reproductions or other like kinds of image productions taken during the event.
6. I understand that Cycle North Carolina and it’s Staff are not responsible for loss, theft, or any damages to personal property which include, but not limited to bicycles, vehicles, tents, trailers, luggage, etc.

7. In order to protect the health and safety of all participants, I understand and agree that Cycle North Carolina may determine that the event may be terminated at any time with no refund and I may not be able to participate or complete the event.  There will be no refunds for bad weather situations, force majeure events,acts of God, etc..   

8. I have read and agree to the Cycle NC Cancellation and Refund Policy.

Read through the agreement

By checking this box, you agree that you have read, understood and agreed to: (i) the waiver(s) above* and (ii) the N.C. Amateur Sports' Privacy Policy* , and represent that you are 18 or older, or have the authority to register these participants and agree to the waiver(s) for them as their parent or legal guardian.

Are you 18 or older?*

18 or older Under 18

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