If you prefer to pay by check, please fill out the form below, print it out and mail it along with payment to:
Biking Across Kansas, PO Box 192, Olathe, KS 66051
Checks payable to: Biking Across Kansas

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Go to Registration Summary
  Entry Info
Your child will be participating
on BAK as:
Description of entry types
Vegetarian or Vegan diet?:

Select your diet preference.

Participant Info
Your child is:
Male   Female   

Age (as of 6/9/2017)
    Date of Birth MM/DD/YYYY
First Name:
Last Name:
Home Phone:
Cell Phone:
Please enter the name of your child's guardian during BAK:

(Authorized guardians must be 25 years or older
and be a registered participant on BAK 2017)

Emergency Contact Name:
Emergency Contact Address:
Emergency Contact Phone:
Additional Comments:
(please list any existing medical conditions that BAK organizers and medics should know about)

You must read and agree to the release to continue the registration process.

Open printable version
of the release

I Agree to the Terms of This Release