CASCADES CYCLING CLUB

2008 Minard Mills Bicycle Tour & Wienie Roast Registration Form

Roads will be open, rain or shine: Sunday, August 3, 2008 at 7:00 am.
Ride starts at R.W. Kidder School, Jackson, Michigan

Name:

Mr. Mrs. Ms.

List Additional Family Members:			Total number of Riders


For persons registering as a family, consider a family to be 1-2 adults plus children ages 5-17.

ADDRESS
Street:
City:
State:		Zip:
Phone:

T-SHIRT (Optional. Available with Pre-Registration on or before July 21st, . Shirts may be available the day of the ride, but we can only guarantee shirts to persons who 2008 register on or before July 21st.)
		Size (Give Quantity for each size.)					Sum Quantities for all short or long sleeve shirts and then multiply by shirt Price.
	Price	S	M	L	XL	XXL	Qty	subtotal($)
Short Sleeve	$12
Long Sleeve	$15

Total Amount--Shirts ($):

(Pre-Registration ends 7/21/08. Select type of registration based on individual or family, before or after Pre-Registration date.) Registration:

[Add Total for Shirt(s) plus Registration] Grand Total($):

Make checks payable to:	Cascades Cycling Club
Mail Completed Application To:	MMBT & WR P.O. Box 515 Jackson, MI 49204

RELEASE-Please read below. After you print this form, add signature and date for each person registering.

In signing this form for myself and the above named minor(s), I understand and agree to absolve all the sponsors and organizers, be they individuals or organizations, singly or collectively, from any blame or liability for any injury, misadventure, harm, loss, damage, or inconvenience suffered or sustained as a result of taking part in the Minard Mill Bicycle Tour and Wienie Roast or any of the activities associated with said event. I also consent to and permit emergency treatment in the event of injury or illness.

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* Parent or Guardian must sign if rider is under 18