Bike Rental Registration Form

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Please use the below form if you are only renting a bike from Lizard Head and NOT attending a tour.

Note: *Asterisk denotes that the field is required.

Personal Information - If additional riders/rental bikes are needed, please complete this form for each individual.
*First and Last Name:
*Street Address:
*City, State, Zip/Postal Code
*Email Address:
*Mobile Number:
*Emergency Contact: For someone who will not be with you.
First Name, Last Name
Relationship, Phone Number
Bike Rental Information
*Type of Rental Bike:
*Your Height and Weight: In feet/inches and lbs. We can fit you to the correct sized bike with just your height.
Your Frame Size and Stem Length: In centimeters and millimeters
*Pedals: Do you require flat pedals or pedals with toe straps? Please note that Lizard Head Cycling does not provide SPD pedals.
*Camping Gear: Do you need to rent a Tent, Sleeping Pad, and/or Sleeping Bag?
Payment Information
*Amount Authorized to be Charged to Your Card:
*Cardholder First and Last Name:
*Credit Card Number:
*Credit Card Expiration Date: Month/Year
*Credit Card Security Code:
Billing Street Address: If different than above.
City, State, Zip/Postal Code:
Additional Information
Previous Bike Tours: Please enter any previous bike tours that you have been on in the field below, or leave blank if none.

Additional Notes: Please enter any additional information that you feel we would need to know in the field below. Include other rider names and bike needs here.

* YOUR BIIKE RENTAL REGISTRATION WILL NOT BE SUBMITTED UNTIL YOU HIT THE GREEN BUTTON BELOW *