Registration - YSC 2018 Tour de Pink West, charity bike ride, California Coast

The email address you provide for registration will be used for all YSC communications, including general and Tour de Pink related emails.

If you have any questions, you may contact info@ysctourdepink.org.

create a new registration

Title

First Name

Last Name

Suffix

Email Address

Password

Confirm Password

Address

Apt/Ste/Unit

Country

City

State

Province

State

Zip

Mobile Phone Number --

Mobile phone numbers will be used on-site in the case of an emergency at the event.

Step 2

Choose a registration option.

Solo

Join Team

Create Team

Show your team spirit! Sign up your family, friends, co-workers etc. to join your fundraising efforts.

Virtual Rider

Register to fundraise as a virtual rider (not attending Tour de Pink in person). If you select this option, your registration will be complete. After you complete registration, please contact us if you would like to be added to an existing team as a virtual rider.

Step 3

Your Your Goal

Registration/Ride Type*

Select

Birthday*

Gender*

Select

Have you been diagnosed with breast cancer?*

Select

If yes, what date were you diagnosed with breast cancer?

Are you a caregiver/family member/friend of someone diagnosed with breast cancer?

None

Employer

Occupation

Emergency Contact Name*

Emergency Contact Phone*

How did you hear about the event?*

Select

Including this ride, how many times have you ridden in Tour de Pink?*

Select

What is your rider experience?*

Select

What is your fundraising experience?*

Select

Who recruited you to ride?
Please provide the first and last name.

What is your preferred t-shirt size?*

Select

What is your preferred cycling jersey size?*
VOmax is now the 2018 official jersey provider. Please note that orders are placed August 1 in order to receive them in time for the ride. We will do our best to accommodate you if registering after August 1, even if we need to mail one post-event.

Select

What is your preferred cycling shorts size?*
We will be ordering from VOmax. Please refer to VOmax's sizing chart online (http://www.vomax.com/content/VOmax_Sizing_Chart_2014-15.pdf).

Select

What are your dietary restrictions? Select all that apply.*

Preferred Roommate Name
Three-day riders only: Please provide first and last name. Optional.

By clicking, “I agree” below, I understand that if I do not communicate to Tour de Pink via email 30 days before the ride that I will no longer be attending or if I am a “no-show” to the event I will fundraise and/or pay a cancellation fee of $500.

This cancellation fee will cover the non-refundable cost of hotel rooms, meals and transportation that Tour de Pink has to absorb when within 30 days of the event. These non-refundable costs affect the overall financial viability of Tour de Pink which in turn affects the event’s ability to support the mission of YSC.

Any fundraising dollars raised will be applied toward the $500 fee in order to reduce the amount that will be charged to the credit card on file. For example, if you fundraised $300, you will only be charged a $200 fee.

Tour de Pink retains the right to waive this fee in cases of extreme circumstances. Tour de Pink will not charge your credit card without communicating to you first and confirming the fee amount and date that the charge will take place.

By clicking “I Agree” below, I acknowledge that I am over 18 years of age. I understand its intent, and I for myself, my heirs, executors, administrators and representatives, do hereby agree and will absolve and hold harmless Young Survival Coalition, the sponsors, cooperating organizations and any other parties connected with this event in any way together with their respective successors and assigns, singly and collectively, from and against any blame and liability for any injury, harm, loss, inconvenience or any other damage of any kind whatsoever, which may arise out of the negligence or carelessness on the part of any person named in this waiver.

I hereby consent to and permit emergency treatment in the event of injury or illness while participating in 2018 Tour de Pink West. I also hereby give permission to Young Survival Coalition to use my name or image by way of a photograph, video or audio format taken of me during the event in any promotional materials, publications or any other electronic media in addition to disclosing my name on Young Survival Coalition’s Web site, which includes online pledging. I acknowledge that I will be opted in to receive Tour de Pink related and general communications from Young Survival Coalition and may opt out at any time.

I verify that all submitted information is accurate and valid. Young Survival Coalition reserves the right to refuse or dismiss anyone that provides false information and/or may cause any disturbance or hindrance in any manner that could jeopardize the safety of oneself or others.

Agree to waiver

Rider Total

Step 4

Summary

Total Due: $0.00

Billing Information

Use previously provided address
Add a different billing address

Address

Apt/Ste/Unit

Country

City

State

Select

Province

Select

State

Select

Zip

Cardholder

Card Number

Exp

CVV

National Sponsors

Diamond Sponsors

Select A Team:

Begin registration using…

create a new registration

Choose a registration option.

Solo

Join Team

Select a team:

Create Team

Virtual Rider

Rider Total

Current Team Total

$0.00

Summary

Coupon Applied

Additional Donation

Billing Information

Thank you for registering!