waiver of liability etowah sheriff’s charitiespersonal ... ride tri-fold brochure 2016.pdf ·...
TRANSCRIPT
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Etowah
Sheriff’s
Charities
Etowah County Fairground
102 Griffin Street
Attalla, Alabama 35954
Metric Century & 26 Mile
Charity Bicycle Ride
8:00 a.m.
Sa turday May 7, 2016
In consideration of my acceptance as a partici-
pant in an event sponsored by Etowah Sheriff’s
Charities, a 501 ( c ) (3) non-profit organization,
known as “The Bull Ride” Cycling Event to be
conducted on May 7, 2016. I do, for myself, my
personal representative, heirs or next of kin,
hereby waive and hold harmless Etowah Sheriff’s
Charities, it’s officers, agents, employees or vol-
unteers from any liability, claims, actions, causes
of actions or suits which may accrue to me for
injury to person or property arising out or in any
way connected with my participation in the afore-
said event.
I do hereby specifically acknowledge that it is my
duty, and I do hereby agree to obey all applica-
ble rules of the road pertaining to my operation
of a bicycle in the course of this event. I do
hereby acknowledge that I have been advised
that Etowah Sheriff’s Charities will in no way con-
trol traffic to which I may become exposed in the
course of this event, or to control or direct traffic
at intersections or along the roads or right of
ways designed for this event. Therefore, it is ex-
pressly understood to be my duty to keep a safe
lookout for my own protections and the protec-
tion of others.
I do hereby certify that I am in excess of 19 years
of age (released by guardian if under 19 years of
age) and that I suffer from no infirmity or condi-
tion which would in any way impair my ability to
execute this document. I do further certify that, to
the best of my knowledge, I suffer from no physi-
cal condition which would in any way place me in
danger by virtue of my participation in this event.
I further acknowledge that I have read this docu-
ment and understand its contents. No statements
have been made to me by any officer, agent, em-
ployee or volunteer of Etowah Sheriff’s Charities
which in any way conflict with my understanding
as set forth in this document.
Print Name:__________________________________
Signature:____________________________________
Date:__________________
Guardian Name (if under 19):__________________
Signature:____________________________________
Relationship:_______________ Date:_____________
Waiver of Liability
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Register by mail or at www.active.com or
www.runsignup.com
It is recommended that you check the weather and
wear appropriate clothing for conditions as the
ride will go on, rain or shine.
Helmets are REQUIRED by all riders.
For safety of all riders, no music devices will be
allowed (i.e. iPods, mp3s, etc.)
Packet Pick Up: Friday, May 6
Etowah County Sheriff’s Office
8:00 a.m. to 2:00 p.m.
All finishers will receive a custom belt
buckle medal and free ticket to Friday
Night’s rodeo!
Contact: Natalie Barton
Phone: 256-549-8135
Fax: 256-549-8137
E-mail: [email protected]
Website: www.etowahsheriffscharities.com
THE BULL RIDE COURSE MAPS
Come join us as we cycle through the beautiful
country-side of the Coosa Valley. This bike ride
will begin at the Etowah County Fairgrounds and
take you through two of Alabama’s most scenic
counties. Your registration fee covers rider sup-
port, such as mechanical and medical support
along each routes, water, refreshments along the
course and finish line foods!
All proceeds benefit Operation Christmas Cheer,
which provides Christmas to children in need in
Etowah County.
Etowah County Fairgrounds
102 Griffin Street
Attalla, Alabama 35954
Saturday, May 7, 2016
Registration: 6:30 a.m. to 7:45 a.m.
Ride: 8:00 a.m.
ENTRY FORM Please Complete All Information
Signature
Full Name: Pre-Registration
Race Day
26-Mile Ride
Metric Century Ride
$30.00
$30.00
$40.00
$40.00
Method of Payment
Cash
Check #
Mailing Address
City/State/Zip Code
Adult T-Shirt Size - PLEASE CIRCLE Guaranteed through April 29, 2016
Small XLarge Medium 2XLarge Large
Phone Number
Email Address
Date of Birth and Age
All participants must read/sign release on back.
Return this portion, completely filled out, with your registration fee no later than Monday, May 2, 2016. Make checks payable to: Etowah Sheriff’s Charities
Mail to: Etowah Sheriff’s Charities 827 Forrest Avenue Gadsden, Alabama 35901
Routes can be found at www.ridewithgps.com
by searching for
“Etowah County Sheriff’s Rodeo Bicycle Ride”.
Metric Century Ride
26 Mile Ride
Call for available hotel discount!
Etowah County Sheriff’s Mounted Unit Rodeo May 6 & 7, 2016
Etowah County Fairgrounds Rodeo begins at 8:00 p.m. nightly