Tech – Gulo Composites

Name *

First

Last

Mailing Address (Street, City, State, Zip) *

Email *

Phone *

Have you registered directly with BWR N. Carolina 2021 and if yes which ride did you sign up for? *

T-Shirt size *

Have you already registered with BWR N. Carolina 2021 and if yes which ride did you sign up for? *

Do you plan to attend the BWR Friday night VIP Dinner Experience *

Are you interested in having a massage(s)* during camp? *

*Massage fee's are not included with camp pricing. Payment is due when services are rendered.

Emergency Contact (Name + Phone) *

Dietary Restrictions or Allergies:

Anything else our staff might need to know (i.e. EpiPen):

BWR Asheville Survival Camp Form