Registration For The Bob Cooke Memorial Trek Against Skin Cancer!

Everyone who registers will receive a free gift bag, t-shirt, dinner, and drinks.

If you raise $100 you get a baseball cap.

Register Online NOW!

Make sure you send payment for your registration
separately or on the day of the event!

  • Individual:
    • Price: $25
    • OR a minimum of $25 in pledges
  • Family:
    • Price: $40 (additional family members are $10 each)
    • 2 Adults and 2 Children
    • OR a married couple
*# of Participants:
*First Name:
*Last Name:
*Street:
*City, St:
 ,
*Phone:
*Email:
*Shirt Sizes:
  (Limited to 1 per Individual, 2 per family,additional t-shirts will be on sale for a nominal fee at the event. Please only select a second shirt size if you are registering more than one person.)
*Race Type:
*How did you hear about the Trek?
Additional
Comments:
 
  * Required
It is required that all cyclists under 14 wear a helmet. Also, it is strongly recommended that all cyclists wear a helmet. Also, reflective clothing is also suggested. In consideration of your accepting this entry, I hereby for myself, my heirs ,executors, and administrators, waive and release any and all rights and claims for damages I may have against The Bob Cooke Memorial Trek Against Skin Cancer, the Advisory Council, the City of Milford, and all sponsors and each of their directors, officers, employees, agents, and representatives for any and all injuries, damages and/or claims of any description which might arise out of the 2006 The Bob Cooke Memorial Trek Against Skin Cancer and all activities in any way connected therewith. I attest that I am physically fit and have sufficiently trained for the event in which I am participating. If you do not want to register online, please print the forms below and return them with your registration fee.

The Bob Cooke Skin Cancer Foundation, Inc.
6 Anchorage Drive
Milford, CT 06460
203.878.8648

Please feel free to print as many of these forms as you would like. Pass them out to friends and family to help benefit this important cause!


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