Registration Form (one per entry; please print and mail, or bring with you on June 29 for same-day registration)

Name ___________________________________________________________________

Address _________________________________________________________________

City _________________________________ State _________ ZIP _________________

Home Phone __________________________ Work Phone ________________________

Age ______

Registration Fee: $10 Adults, $5 Children 12 & under
$ ______
T-shirt: Add $9 to registration fee Circle your size (adult sizes only): S M L XL XXL
$ ______
I would like to make an additional donation to the Quinault Cancer Fund
$ ______

Please donate $1 per rider for insurance*
$ 1.00
Total enclosed $ ______

* The Olympic National Park headquarters in Port Angeles, Washington, has required the Quinault Cancer Fund purchase the one-day-only Bike Ride Insurance, June 29, 2002, 7 a.m. to 12 noon.

Please make check payable to Lake Quinault Lodge/RFR

Mail to:

Rain Forest Bike Ride
Lake Quinault Lodge
PO Box 7
Quinault, WA 98575

Signature _________________________________________ Date ___________________