2015 Sea Gull Century Registration Form
Salisbury University
Salisbury, MD

October 3, 2015

Artwork by Petra Bernstein

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Sea Gull Century proceeds greatly benefit the local community along with enhancement of SU campus, faculty grants and student scholarships.

Step #1: Contact and Rider Information
Each Sea Gull Century participant must register individually in order to provide a liability waiver, which includes emergency contact information for the ride.
Please complete the information below.
* indicates a required field
First Name * 
Last Name *
Age *
Gender *        
Event *  
T-Shirt Size * (Unisex Hanes Beefy-T Long-Sleeve Cotton)
Street Address *
Street Address 2
City *
State *  Zip Code * 
Day Phone:
Evening Phone *
E-mail *
Confirm E-mail *

Bidding for Rider #'s 1 and 2015 is now closed. The winners will be contacted personally by the Sea Gull Century Staff.

Online registration provided by Beacon Technologies, Inc.