Please fill out and submit this form to register for one of my permanents. You must also submit a signed and dated release form; click here to download the release form. You can attach a legible image of the signed release form to this request; otherwise you can email the image to email@example.com or mail the original to: Roland Bevan, 1210 Shaffer Rd #1116, Santa Cruz, CA 95060.
If you wish to use EPP (electronic proof of passage) to validate your ride let me know what you propose in the Notes field when you register.
Pre-registration is required. Please give reasonable notice. Every effort will be made to accommodate your ride on the date you request; however, the organizer (me!) reserves the right to decline any entry, on any date, without stating a reason. Membership in Randonneurs USA (or an ACP "correspondent direct" organization, e.g. Audax UK, BC Randonneurs, etc.) is mandatory to ride a permanent. Please contact Roland Bevan with any questions.