FLORIDA FREEWHEELERS'
37th Annual
Florida Bicycle Safari 2017

2017 SAFARI REGISTRATION

Payment is via Credit Card Only.
We accept the following Credit cards VisaMasterCardAMXDisc
You will receive an e-mail confirmation when your payment is accepted.
Click here for mail-in form.
Florida Freewheelers members receive a $25 discount on their Safari registration if they register on-line.
Please use this page to register.
Contact Information
First Name:
Last Name:
Age at time of Safari
(if under 18 or over 80):
Address:
City:
State:
(i.e. FL)
Zip:
Phone #:
(Enter phone # without dashes or spaces i.e. xxxxxxxxxx)
E-Mail:
Emergency Contact:
Emergency Phone:
(Enter phone # without dashes or spaces i.e. xxxxxxxxxx)
Display Preference
Check here  if you DO NOT want your name / city / state listed on our website.
3 Day-Safari
Adult:
$200 per person
FFW Club Member:
Please use this page to register.
Child (under 18):
$175 per person
Non-riding participant:
$125 per person
RV Site:
Sold Out as of 2-8-2017
6 Day-Safari
Adult:
$450 per person
FFW Club Member:
Please use this page to register.
Child (under 18):
$400 per person
Non-riding participant:
$300 per person
Only 1 of the 3 options below may be selected.
Cherry Lake Dorm Room:
Sold Out as of 3-11-2017
Cherry Lake Cabin:
$20 *
RV Sites (both locations)**:
$60 (limit 12 RVs in Cherry Lake) *
RV Size (ft.):
Apparel
T-Shirt
Select T-Shirt Size:
  • S
  • M
  • L
  • XL
  • XXL
Extra Cost Apparel
Safari 2017 Jersey - $60 each
Click for Jersey design  Click for Size-Chart
(Not all sizes are available after February 1st.)
Jersey:
  • No Jersey
Men Jersey - Select Size:
  • S
  • M
  • L
  • XL
  • 2XL
  • 3XL
Women Jersey - Select Size:
  • S
  • M
  • L
  • XL
  • 2XL
Late Fee after March 10, 2017:
$25 per person will be added after 3-10-2017
How did you hear about us?
Florida Freewheeler Website
 
Magazine (indicate below)
 
Past Safari
 
Other Events (indicate below)
Comments:
I understand that the Florida Freewheelers, Inc. are not insurers of my personal safety or liability during the Florida Bicycle Safari or any associated activities for which I am registered. I hereby release and forever discharge and hold harmless Florida Freewheelers, Inc., its members, agents, servants, representatives, successors, sponsors, volunteers and assignees from all liability (personal and property), including liability for negligence, arising out of or connected in any way with my participation in this event (or my minor child's participation in this event). I also agree to fully comply with all applicable laws and traffic regulations, to conduct my activities in a safe and prudent manner, to wear an approved bicycle helmet and to not use headphones while riding. I further grant consent to permit emergency medical treatment if needed.
  By checking this box you have indicated you have read the Release Form. This will act as your signature.
* Limited availability.
** If you selected an RV at Cherry Lake, you also have one at Live Oak.
Cancellation fees apply after 3/18/2017.
All Children under 18 must be accompanied by an adult, at the event and particularly when riding.
Today's Date is 03/29/2017 06:50 pm.