Irmo (Columbia Area), South Carolina

Saturday, 8:00 AM, September 29, 2007 

Where It's Happening - Dutch Fork Middle School, Old Tamah Road. Directions to 

start for Carolina Cyclers Fall Century Assault on Little Mountain---From Columbia go west 

on I-26 to the Peak exit  (#97)turn left on 176, turn left on Shady Grove, bear right on 

Old Tamah Rd, Dutch Fork Middle School will be on the left.

Ride Options- There will be a mass start for all rides at 8:00 AM. You have a choice of 

20, 65, or, 100 mile rides. No matter which ride you choose, the Carolina Cyclers will 

provide you with great maps and sag support. In order to do the century ride,  you must

enter the upper loop by 11:30 AM.

Registration Fee - The registration fee for the ride is $25 for members, 
and $30.00  for non-members, if you register by 09/08/2007. 

After 09/08/2007 the fee is $30.00 for members, and $40.00 for non-members. 
For non-members the registration fee includes membership in Carolina Cyclers. 
This fee includes maps, snacks, sag support. Fees are non-refundable. 

Registration

NAME:_____________________________
ADDRESS:__________________________
CITY: _________________________STATE: __________ ZIP: ________________
PHONE NUMBER: __________________E-MAIL ADDRESS: _________________
AGE: ___________
MARK YOUR ROUTE:  25___40___65___100___    
IS THIS YOUR FIRST CAROLINA CYCLERS CENTURY RIDE ?  YES___  NO___

I UNDERSTAND AN APPROVED BICYCLING HELMET IS REQUIRED. A WAIVER 

MUST BE SIGNED WHEN I SIGN IN FOR THE RIDE BEFORE I AM ALLOWED TO RIDE 

WITH THE CAROLINA CYCLERS. IF PARTICIPANT IS UNDER 18 YEARS OF AGE A 

PARENT/GUARDIAN MUST ALSO SIGN THE REQUIRED WAIVER.

SIGNATURE: ________________________________DATE: _________________

MAIL YOUR COMPLETED REGISTRATION FORM AND YOUR CHECK PAYABLE TO

CAROLINA CYCLERS

P.O. BOX 11163

COLUMBIA, SC 29211