Thank you for registering online!

Please fill in the form below with the RIDER's information. If you are paying for more than one rider, you may do so by adding multiple registrations to your shopping cart, and checking out when completed.

• 
  Individual Registration

  $125.00

  Please fill in all fields below for the Rider you are registering.

  Rider Name:

  Team Captain Name:

  E-mail Address:

  Street Address:

  City:

  Province:

  Postal Code:

  
  

• 
  Ironman Registration

  $125.00

  Please fill in all fields below for the Rider you are registering.

  Rider Name:

  E-mail Address:

  Street Address:

  City:

  Province:

  Postal Code:

  
  

**Please note**
PayPal requires that the billing and credit card information are identical. If you are a parent paying for your child to attend, or are paying for someone other than yourself, please provide PayPal the name and address that appears on your credit card statement. All registration information from the above form will be submitted with your payment.

**Privacy Information**

Any information sent via this form will be used solely for registration purposes, and will not be shared with any 3rd parties.

All financial information is collected via PayPal, and is therefore kept secure and confidential. We do not receive credit card numbers, or other financial data from PayPal other than the dollar amount and name of the person sending the funds.

If you have any questions regarding the use of information submitted on this form, please contact bev@motosformoms.ca