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LIABILITY WAIVER In consideration of the BBC providing bicycling opportunities and allowing me/us to participate in its events, I/we agree to assume the risks thereof. Further, I/we release the BBC and its officers, directors, members and agents from any and all claims for death personal injury, or property damage which may accrue to me/us (or a minor in my care) as a result of participation in any BBC activity or event, even though the claim may arise out of negligence or carelessness on the part of the person or entities released. Signed________________________________________________ ____________________________ Parent/Guardian (for minor) The liability waiver must be signed by each participant before participation. Proceeds to be donated. Consider joining the BBC! We offer: Club Rides... Summer Time Trials... Annual Bowling Day!, etc, etc!!! Registrations welcome day of ride. Please send your completed registration form and liability waiver to:
BBC Questions? email: blairbikeclub@yahoo.com ***LUNCH PROVIDED! |
3 Ring Circuit Century Ride! NEW DATE!!! Sept 8, 2012, 7:30 a.m. Nannen Physical Therapy-636 N 20th Ave. Blair, NE Name____________________ Address___________________ City______________________ State_____Zip_____________ Phone____________________ Email_____________________ Distance (miles) ( ) 20 ( ) 43 ( ) 86 ( ) 100 --Is this your first century? ______ ( ) 124!!! --I'M GONNA TRY FOR IT!!!! Registration fee $22 $_______ (Registration for individual is $18 if postmarked before 8/20/12) Registration-family $38 $ ______ Registration fee Ages 65 $18 $______ T-shirt (order by 8/1) $5 $ ______ Join BBC (optional) $10 $ ______ Total submitted: $____________ T-Shirt size (must register by 9/1 to get a shirt on 9/8) ( )S ( )M ( )L ( )XL ( )XXL (add $2)
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