
FRIDAY JULY 4, 2008
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NAME:__________________________________
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All registered receive
T-shirt, map, support vehicle,2 sag stops, food & refreshments. TOTAL ENCLOSED: $__________ Make check payable and mail to: |
| Release Of Organizers And Sponsors: In signing this release, I acknowledge that I understand its intent. I understand that the Break-Away Bicycle Club, Haynes Apperson Festival and their officers, members and sponsors, the cities, counties, state or district where this event is held, are not insurers of my personal safety before, during or after the event or any activities associated therewith. I thus release them and agree to hold them harmless from any and all liability arising from my having sustained any property damage or personal injury by reason of my participation in this event. I recognize the difficulties of this event and attest that I am physically fit to participate in this event and that I have not been advised otherwise by a qualified medical person. I also hereby consent to and permit emergency medical treatment in the event of injury or illness. I shall abide by traffic laws and regulations and practice courtesy and safety in cycling. |