BIRTHDATE ___/___/___ I have participated _____ times.
Classic Participant
TOUR ENTRY FEE
$25.00 per person postmark before Sept. 1.
$30.00 per person postmark after Sept. 1.
$35.00 per person the day of the tour.
$65.00 per family w/same address postmark on or before Sept. 1, mailed
together.
$75.00 per family w/same address postmark after Sept. 1, mailed together.
$85.00 per family w/same address the day of the tour.
Shirt Size
S
M
L
XL
XXL
MAIL TO:
Mora Bike Tour
P.O. Box 71
Mora, MN 55051
CHECKS PAYABLE TO:
Mora Bike Tour
WAIVER/RELEASE FORM
Waiver - I know that bicycle riding is a potentially hazardous
activity. I should not enter and ride unless I am medically able and properly
trained. I also assume any and all other risks associated with riding
this event including but not limited to falls, contact with other participants,
the effects of the weather, including high heat and/or humidity, and the
conditions of the roads, all such risks being known and appreciated by
me. Knowing these facts, I hereby, at my own risk enter this event. I,
my estate, and my heirs waive any claims for damages or injuries that
I may incur as a result of my participation in this event, against any
sponsor, volunteers, employees or officials. I understand that helmets
are required for all riders. I am well aware that I'm expected to ride
with courtesy, caution and common sense. I know this ride is held rain
or shine and the registration refunds will not be made.
Signature
_______________________________
Co-signature
________________________________
By parent or guardian: required if applicant is
under 18 years of age.