Gaylord Right to Life Bicycle Rally

Saturday - August 12, 2017 
 
Registration Form

I/my minor child will be participating in the Ride/Run for Life fund raising event on August 12, 2017. I understand the ride/run is open to individuals, families, and all capable, interested, bicyclists and runners. Riders and runners must be 18 years old or be accompanied by a parent, guardian or participating adult. The local Right to Life affiliate reserves the right to reject applicants from riding.

By signing this waiver I agree to obey the rules below:
 
Bicycle helmets are strongly encouraged to be worn at all times while riding.

No headphone devices are allowed while riding (i.e.: Ipods, Bluetooth phones, etc.)

All riding must be done during daylight hours.
Obey all state and local laws.

Be courteous while on the trail – do not impede traffic and become a statistic.

A chase vehicle will have basic repair material in it.
 
For your enjoyment, you and your bicycle should be in good condition. You should be able to make your own minor repairs and carry a replacement tube. Pace yourself to allow for food and rest stops and to arrive at our destination by 1:00 p.m. Lunch will be served at a designated area and time. Please be aware if you choose to leave early or later, lunch may not be available when you arrive.
 
Each rider and runner must submit this registration form prior to the ride/run. Registration is open at 8:30 am until 9 am the day of the ride for bicyclists in Gaylord and from 11:00 am until 11:30 am for runners on August 12 in Indian River. 
Cost: $15.00 per rider pre-registration up to Aug. 7, 2017. $20.00 registration fee after Aug. 7 & day of ride/run.
 
Rider/Runner Name:__________________________________Phone:___________________
 
Address:_______________________________T-Shirt Size:____________________________
 
City:___________________________________State and Zip:__________________________
 
Email:_______________________________________________________________________

Emergency Contact:____________________________________________________________

 
Signature:____________________________________________________________________
 

Together we are saving Lives.