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If you'd like to join us on one of our tours, please fill out the form below and click submit. After submitting this form you will be contacted within 48 hours to verify your registration and make payment arrangements.

Contact Information
Name*		Which trip signing up for
Address 1*		Address 2
City*		State*
Zip*		Country
Primary Phone*		Secondary Phone
Gender*		Birth Date*
Email*		Confirm Email*

Medical and Emergency
Name of Emergency Contact*		Emergency Phone*
Relation to you*
Medical Issues or Allergies
Dietary Restrictions
Do you have any physical or mental limitations that may prevent you from participating in this trip?			Yes No
If yes, please specify

Travel Arrangements
Are you booking trip insurance through us or third party?	Us Third Party None	How did you hear about us?
Method of Payment*		I am traveling alone I am traveling with others
If traveling with others, please list full name(s)

You and Your Bike
Brand/Model bike you're bringing*		Number Years Riding*
Average Weekly Mileage*		Rate your Fitness*
Racing Experience*

Policies can be viewed here
By clicking here, you accept our policies and procedures*	I accept

Trip Application for Tour of Flanders

Contact Information

Medical and Emergency Information

Travel Arrangements

You and Your Bike

Agreed to terms and conditions: