Oldman Mayhem Registration

$85.00

EARLY BIRD Online Registration!

Online registration for the Oldman Mayhem is now OPEN.

Find more details on the Oldman Mayhem Facebook page (https://www.facebook.com/oldmanmayhem)

Type of Registration *

Solo

Team (+$75.00)

Will you be riding an ebike? *

Yes

Will you be riding an ebike? (Team Member) *

Yes

Full Name *

Full Name (Team Member)

Email *

Email (Team Member)

Phone Number *

Please use numbers only. No dashes or brackets. (ie. (), - )

Phone (Team Member)

Please use numbers only. No dashes or brackets. (ie. (), - )

Street Address *

Street Address (Team Member)

City/Town *

City/Town (Team Member)

Postal Code *

Postal Code (Team Member)

Province *

Province (Team Member)

Emergency Contact Name *

Emergency Contact Name (Team Member)

Emergency Contact Phone Number

Please use numbers only. No dashes or brackets. (ie. (), - )

Emergency Contact Phone Number (Team Member)

Please use numbers only. No dashes or brackets. (ie. (), - )

Gender *

Male

Female

Gender (Team Member)

Male

Female

Birthdate (MM/DD/YYYY) *

Birthdate (MM/DD/YYYY) (Team Member)

T-shirt Size *

XXL

T-shirt Size (Team Member) *

XXL

Do you want to purchase additional meal tickets? (×$15.00)

There will be a limited number of meal tickets available for purchase at the race (for cash only). If you already know you will need extra meal tickets, please consider purchasing them now to help us with numbers.

Refund Policy *

I have read and agree to the refund policy

Refunds will only be offered for medical reasons. You may transfer your race day registration to another person up to 24 hours prior to the event. The $5 registration fee will not be reimbursed. Please indicate that you have read and agree to the refund policy.

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Oldman Mayhem Registration quantity