Laurel-Ween Bike Ride Registration
Date: October 28, 2017
Registration: Preregistration encouraged or register the day of ride, 8:00-9:00am at City Hall.
Mail Registration to: Darrell Bartlett
PO Box 112
Laurel, IA 50141
or darrellbartlett@yahoo.com
Start: Shotgun start 9:00am
Location: Ride starts at City Hall.
Entry Fee: $10 donation. Proceeds to benefit local programs and Pediatric Cancer. Make checks payable to Laurel-Ween.
HELMETS REQUIRED!
OBEY ALL TRAFFIC LAWS!
RIDE RIGHT!
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Registration Form for Laurel-Ween Bike Ride
Name_______________________________
Address_____________________________
City_____________________State________
Phone_______________________________
Email________________________________
I agree not to hold Laurel-Ween, the organizers of Laurel-Ween and/or its sponsoring agencies, volunteers and the City of Laurel liable for any dangers I may incur during my voluntary participation in this event. I am entering at my own risk with full understanding of the inherent dangers of bicycling. I also agree to conduct myself in a safe manner during the ride.
Signature___________________
Date_______________________
IF APPLICANTE IS UNDER 18, PARENT /GUARDIAN MUST SIGN ABOVE AND ACCOMPANY ON RIDE.