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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. BLAIR BIKE CLUB 636 N 20TH AVE Blair, NE 68008
Proceeds to benefit the Blair Trails Project & MS.
This Cool Art (above) on River Ride T-Shirt! Don't miss it! |
BBC Rollin to the River Century 100 Entry Form August 9, 2008, 7:30 a.m. Name____________________ Address___________________ City______________________ State_____Zip_____________ Phone____________________ Email_____________________ Distance (miles) ( ) 20 ( ) 36 ( ) 56 ( ) 68 ( ) 100 --Is this your first century? ______ Registration fee $22 $_______ (Registration for individual is $18 if postmarked before 7/20/08) Registration-family $35 $ ______ Registration fee Ages 65 $18 $______ T-shirt (order by 8/2) $8 $ ______ Join BBC (optional) $10 $ ______ Total submitted: $____________ T-Shirt size (must register by 8/2 to get a shirt on 8/9) ( )S ( )M ( )L ( )XL ( )XXL (add $2) Registrations welcome day of ride. Please send your completed registration form and liability waiver to:
BBC
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