Sexual Trauma & Counseling Center
Please be sure to fill out all fields.
T-Shirt Size
Waiver

I understand that bicycling may involve inherent risks and
hazards. I assume all such risks to participate in this ride.
I and my heirs do hereby waive and release Sexual Trauma
& Counseling Center and sponsors, their members, officers
and representatives of any and all claims and causes of
action arising from and by reason of any and all known,
and unknown, foreseen and unforeseen injuries, damage
to property, and the consequence thereof, resulting from
my participation in the ride. I further understand that all
participants must wear a cycling helmet.
If you would like to pay by credit card,
please use the PayPal links below.

If you would like to pay by check,
please mail it to:

Sexual Trauma & Counseling Center
P.O. Box 693
Greenwood, SC 29648
30- and 62-Mile Tours

And NEW for 2011: 10k Family Tour
THE CHILD’S PLACE BIKE TOUR:
‘CYCLING FOR CHILDREN’
SATURDAY, OCTOBER 15, 2011
REGISTRATION FORM
All proceeds benefit
The Child’s Place, a program
under Sexual Trauma &
Counseling Center.
                      October 15, 2011

Check-in . . . .. .. . . . . 8:00 a.m. – 9:00 a.m.
Start time . . . . .. . . . . 9:00 a.m.
Finish times . . . . . . . 10:00 a.m. - 2: 00 p.m.

A lunch will be provided for all participants.
Refreshments will be available at various rest
stop locations during the bike ride. In addition,
there will be bathrooms and tents at rest stops.
Snacks and drinks will be provided at stopping
points.
Moffatt Dining Hall
@ Erskine College
12 Wightman St
Due West, SC 29639

From Greenville - Take Highway 25 South to
the Hotspot. Take a right on Highway 178
and then a right on Highway 184 to Due west.
(Follow the red signs for Erskine)

From Augusta, take Highway 25 North and then
take a left on Highway 185 to Due West. (Follow
the red signs for Erskine).

For more information:
Sexual Trauma & Counseling Center
P.O. Box 693
Greenwood, S.C. 29648
(864) 227-1623
Registration Fee:

$25 individual, $40 tandem
Please register before October 1st to be
guaranteed a T-shirt and lunch
Please click the
button below for the
$25 individual fee
Please click the
button below for the
$40 tandem fee
Counter
REGISTER AND PAY HERE
Countybank
George Ballentine Ford
ARAMARK Higher Education
Satterfield Construction
Teddy Bear
$5
Resource Book
$15
Counseling
$90/hour
Forensic Interview
$175
Medical Exam
$400
Other
______
Become a Sponsor Today!