Sunday, October 6, 2013$20 by
September 18, 2013 by midnight, $25 after September 18, 2013
midnight, children under 12 $5
Location: Ottawa YMCA, 201 East Jackson St, Ottawa, IL
61350 E-mail:
starvedrockcycling@yahoo.com
Riders who register by 9-18-13 Midnight are eligible for door
prizes. T-Shirt guaranteed to Pre-Reg. ONLY by 9-18-13 for additional
$20, Road Rides - 28, 42, 63, 103 (Light traffic, rolling
hills)
Mtn Bike on the I & M Canal Towpath -(crushed limestone,
flat)
Registration: OPENS 7 am to 10 am (103 mile riders encouraged to
start at 7:15 am) All rest stops close 2:30pm. Please plan
accordingly. SAG support ends for all riders 3:30pm
League of American
Bicyclists (LAB) RELEASE and waiver of liability,
assumption of risk, and indemnity "agreement." In consideration of
being permitted to participate in any way in the Starved Rock Cycling
Association sponsored bicycling activities, I for myself, my personal
representatives, assigns, heirs, and next of kin:
1. ACKNOWLEDGE, agree, and represent that I
understand the nature of bicycling activities and that I am
qualified, in good health, and in proper physical condition to
participate in such activity. I further acknowledge that the activity
will be conducted over public roads and facilities open to the public
during the activity and upon which the hazards of traveling are to be
expected including but not limited to dogs, wildlife, traffic, or
other road conditions. I further agree and warrant that if at any
time I believe conditions to be unsafe, I will immediately
discontinue further participation in the activity.
2. FULLY UNDERSTAND that: (a) BICYCLING ACTIVITIES INVOLVE RISK AND
DANGERS OF SERIOUS BODILY INJURY, INCLUDING PERMANENT DISABILITY,
PARALYSIS, AND DEATH ("RISKS"); (b) these risks and dangers may be
caused by my own actions or inactions, the actions or inactions of
others participating in the activity, the condition in which the
activity takes place, or THE NEGLIGENCE OF THE "RELEASEES" NAMED
BELOW; (c) there may be OTHER RISKS AND SOCIAL and ECONOMIC LOSSES
either not known to me or not readily foreseeable at this time; and I
FULLY ACCEPT AND ASSUME ALL SUCH RISKS AND RESPONSIBILITY FOR LOSSES,
COSTS, AND DAMAGES I incur as a result of my participation in the
activity.
3. HEREBY RELEASE, DISCHARGE, AND COVENANT NOT TO SUE, Starved Rock
Cycling Association, League of American Bicyclists, their respective
administrators, directors, members, agents, officers, volunteers, and
employees, other participants, any sponsors, advertisers, and if
applicable, owners and lessors of premises on which the activity
takes place, (each considered one of the "Releasees" herein) FROM ALL
LIABILITY, CLAIMS, DEMANDS, LOSSES, OR DAMAGES ON MY ACCOUNT CAUSED
OR ALLEGED TO BE CAUSED IN WHOLE OR IN PART BY THE NEGLIGENCE OF THE
RELEASEES OR OTHERWISE, INCLUDING NEGLIGENT RESCUE OPERATIONS. AND, I
FURTHER AGREE that if, despite this release and waiver of liability,
assumption of risk, and indemnity agreement I, or anyone on my
behalf, makes a claim against any of the Releasees, I WILL INDEMNIFY,
SAVE, AND HOLD HARMLESS EACH OF THE RELEASEES from any litigation
expenses, attorney fees, loss, liability, damage, or cost which any
may incur as a result of such claim.
4. I grant Starved Rock Cycling the right to take photographs of me
and my family in connection with this event and agree that Starved
Rock Cycling may use photographs with or without names for any lawful
purpose (e.g. publicity, illustration, web, or Facebook content). I
understand that Starved Rock Cycling does not sell or share
demographic information to any other parties for any reason.
5. I agree to cooperate to "share the road" and agree not to ride
more than two abreast. I agree to follow all rules of the road, which
apply to both cars and bicycles.
6.I HAVE READ THIS AGREEMENT, FULLY UNDERSTAND ITS TERMS, UNDERSTAND
THAT I HAVE GIVEN UP SUBSTANTIAL RIGHTS BY SIGNING IT AND HAVE SIGNED
IT FREELY AND WITHOUT INDUCEMENT OR ASSURANCE OF ANY NATURE AND
INTEND IT TO BE A COMPLETE AND UNCONDITIONAL RELEASE OF ALL LIABILITY
TO THE GREATEST EXTENT ALLOWED BY LAW AND AGREE THAT IF ANY PORTION
OF THIS AGREEMENT IS HELD INVALID THE BALANCE NOTWITHSTANDING SHALL
CONTINUE IN FULL FORCE AND EFFECT.
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Riders Name (Print Only) |
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_____________________ |
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Canal |
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Address |
City |
State |
Zip |
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_____________________ |
_______________ |
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_________ |
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Emergency Phone: |
Contact Phone: |
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_____________________ |
________________________ |
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*If rider is 12 or under, must be accompanied throughout the ride by a guardin or parent. |
** Signature of guardian or parent required for riders under 18. |
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Fees: |
Through 9-18-13 ----After 9-18-13 |
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Make checks payable to: |
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Each Rider |
$20 ------------------$25 |
$__________ |
Starved Rock Cycling Ass'n |
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PO Box 2304 |
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Children under 12 |
$5--------------------$ 5 |
$__________ |
Ottawa, IL 61350 |
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Long Sleeved T-shirt |
$20-------------------$25 |
$__________ |
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Total Enclosed |
$__________ |
Starved Rock Cycling does not share or sell demographic information given on this form. |
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Directions to Ottawa YMCA: Clip and Save: From North, East and West: I-80 to Ottawa Exit #90 (Rt 23) From South: I-39 to I-80 to Ottawa Exit #90 (Same
as above); |