2012 Arizona Brevet Registration Form
Printable Form - HomeBack to Instructions - Printable waiver  
Rider name
Address
 
Telephone
Email Address  
(If you want registration confirmation)
Age
RUSA #
  (ONLY if you're under 18 years old)   (For RUSA members)
Date
Club

-- Jan 7: Casa Grande Ruins 200k, Casa Grande, AZ: $20. Pre-registration is required and must be received by Wed, Jan 4.

-- Jan 21-22: Lost Duchman Twin 200's, Apache Junction, AZ: $TBD.

-- Feb 4: Saguaro National Park 300k brevet, Casa Grande, AZ: $20. Pre-registration is required and must be received by Wed, Feb 1.

-- Feb 18: Gila River 200k, Chandler, AZ: $10. Pre-registration is required and must be received by Wed, Feb 15.

-- Mar 10: Around the Bend 400k brevet, Casa Grande, AZ: $25. Pre-registration is required and must be received by Wed, Mar 7.)

-- Apr 7-8: Fleche & Dart. Details to be determined by the participants. Email me if you're interested.

-- Apr 14-15: Tombstone 600k brevet, Tucson, AZ: $TBD. Pre-registration is required and must be received by Wed, Apr 11.

-- May 5: Mines to Pines 200k brevet, Miami, AZ: $10, pay at the start. Email me if you're coming.

-- June 2-3: Grand Canyon 300k/600k brevets, Flagstaff, AZ: Fees - 600k: $55 300k: $20 Pre-registration must be received by Wed, May 30.

Make checks payable to Susan Plonsky and mail to:

Susan Plonsky
6800 Leupp Rd
Flagstaff, AZ 86004

(Note: Part of the event fees includes membership in Ariziona Randonneurs.)