Corryong Team Ride Cycling Event

‘Take a ride on the WILD side!’ a team event for every type of rider -Make up your own team of 2, 4 or 6 riders and join in the fun.

Little tackers can ride with mum and dad can ride the easy 14km Rail Trail. Fitter teams can tackle the 50 km or 100km rides

The challenge is ride and finish together as a team to go into the draw to win fantastic prizes.

In the evening, you can celebrate at the Après Cycle Outdoor Banquet, Dress in your finery and join other riders and locals for a dining experience to remember.

Cost per person for the 50k and 100k ride is $20.00.
Après is an additional cost of $25.00 pp
14km Rail Trail - Cost $20.00 per family

All questions can be directed to corryongteamride@outlook.com

Corryong Team Ride Cycling Event Registration form
Team name
Please select a team type:
Distance Number of team members Total Cost
14 km team ride @ $20 per team 2 – 3 – 4- 5- 6 $20
50 km team ride @ $20 each 2 – 3 – 4- 5- 6
100 km team ride @ $20 each 2 – 3 – 4- 5- 6

Team member details
Name Phone Email DOB
1.
2.
3.
4.
5.
6


Optional Extra:

Apres Cycle Dinner – 6pm Attree park

Description Quantity Amount Total
Apres Dinner – Adult $25 pp
Apres Dinner – Child $12.50
Apres dinner – under 6 - free
Waiver
Participant declaration:
I hereby waive any and all rights of claim of damage against the event organizers, the sponsors and representatives of all persons associated with the Corryong team ride cycling event. I acknowledge that entry into this event is entirely at my own risk. I agree to follow all instructions and to respect the advice of those supervising the activity. I authorize the organizers to obtain medical/ambulance assistance in the case of an accident or an emergency and I agree to bear any cost thereby incurred.

I have read, understand and agree to, the Corryong Cycle event waiver.

Signed

Team or Family captain accepting waiver on behalf of his or her team/family member

Please pay at UMHCS Reception, Kiel St, Corryong.
Office use only:
Financial Summary
Charge Type Description Quantity Amount Total Paid
Event Category

Option
Option
Total Charges
Total Payments
Received by: Date
________________________________________

Category:
Non-profit organization