Please fill out and submit this form to register for one of my permanents. You must also submit a signed and dated release form; click here to download the release form.
If you have a scanner or camera you can attach a legible image of the signed release form to this request; otherwise you can email the image to firstname.lastname@example.org or mail the original to:
310 Bahr Dr
Ben Lomond, CA 95005.
Pre-registration is required. Please give reasonable notice. Every effort will be made to accommodate your ride on the date you request; however, the organizer (me!) reserves the right to decline any entry, on any date, without stating a reason. Membership in Randonneurs USA (or an ACP "correspondent direct" organization, e.g. Audax UK, BC Randonneurs, etc.) is mandatory to ride a permanent. Please contact Roland Bevan with any questions.