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2016 Night Owl Bike Ride Registration Form

Presented by The Land Conservancy of McHenry County

Saturday night, August 6, 2016

Ride begins and ends at the Crystal Lake City Hall parking lot (100 W. Woodstock St.)

11:00 p.m. on August 6th

www.clnightowlride.org

clnightowlride@gmail.com

 

Pre-Registration Fee
NOTE: Pre-registration ends on August 5, 8:00 p.m. "Night of" registration cost goes up to $20/rider. (Limit of 500 riders)
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Primary Registrant Information
As the Primary Registrant, you will be the Main Contact for the ride. Rider packet will be under your name and will include all materials for this group.
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First Name
Last Name
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Address Line 1
Address Line 2
City
State/Province
ZIP/Postal Code
Country
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Please provide best email to send updated Night Owl Ride info
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Please provide best phone number to reach you for Night Owl updates. (If carrying a cell phone at the ride, this would be best.)
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Additional Riders from this Household
Each rider must read and electronically sign the Liability Waiver below.
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First Name
Last Name

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First Name
Last Name

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First Name
Last Name

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First Name
Last Name

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Liability Waiver
Please read the following: By registering for the Crystal Lake Night Owl Bike Ride;

I understand and recognize that I, (or my child if signing as a parent for a child under age 18), will be participating in a bicycle ride, traveling on public streets and bicycle trails, beginning at 11:00 PM on August 1, 2015. I understand that I will be sharing public roads with motor vehicles, other participants and pedestrians. And I understand that engaging in such an activity has an inherent risk of damage or injury associated with it. I acknowledge that I am participating in this event entirely at my own risk. I acknowledge and agree that neither the City of Crystal Lake, nor the Village of Lakewood, nor the Crystal Lake Park District, nor the McHenry County Conservation District, nor The Land Conservancy of McHenry, nor the ride committee or its sponsors, nor any political subdivision through which the bicycle ride passes, shall be responsible for:

Any damage to my bicycle or any other property of mine, or

Any injury to myself, including death, sustained as a result of my participation in this event.

I hereby waive any rights I may have to sue any of the above listed entities with respect to personal injury or property damage suffered by myself or my child as a result of participation in this event and I hereby release said entities from any liability for such injury or damage to the fullest extent permissible by law. I have taken all necessary steps to ensure that I am adequately prepared for all possible contingencies, including safety equipment as may be required by law or that a prudent cyclist would consider available. Any reference to I or myself in this document shall include my child or children if I choose to sign this waiver as their parent/guardian. 

I understand that an electronic signature has the same legal effect and can be enforced in the same way as a written signature.

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First, Middle Initial and Last Name
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First, Middle Initial and Last Name
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First, Middle Initial and Last Name
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First, Middle Initial and Last Name
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First, Middle Initial and Last Name
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First, Middle Initial and Last Name
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First, Middle Initial and Last Name
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First, Middle Initial and Last Name
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First, Middle Initial and Last Name
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First, Middle Initial and Last Name
Optional Merchandise
The below items are NOT included in your registration fee. T-Shirts will not be available for purchase at the event and must be ordered by July 15.