CATEGORY 3 - $110Three riding members and one to two supporters Rider One Name * First Name Last Name Email * Phone * (###) ### #### Date of Birth * MM DD YYYY Under 18? * Yes No Rider 2 Name * First Name Last Name Email Phone (###) ### #### Date of Birth * MM DD YYYY Under 18 * Yes No Rider 3 Name * First Name Last Name Email Phone (###) ### #### Date of Birth * MM DD YYYY Under 18 * Yes No Address * Address 1 Address 2 City State/Province Zip/Postal Code Country Supporter Information * Please include first and last names and dates of birth PayPal Transaction ID * Include your name and "C1 Membership" in the payment Thank you!