Bike Newport · 10-Spot Ride 2024 Pay by Check Registration Form

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10-Spot Rider Registration - pay by check

Tickets are $150.

There is no rain date for this event. If the event has to be cancelled due to weather, we will ask but not require our participants to please convert their ticket to a donation, as a tax-deductible contribution to Bike Newport. With gratitude.

Contact Information

Name *

First Name

Last Name

Email *

Verify Email *

Phone *

Address *

Address Line 1

Address Line 2

City

State/Province

ZIP/Postal Code

Country

Yes I wish to receive

Yes! I wish to receive occasional email updates and communication

Please check all that apply:

This will be my/our first 10-Spot Ride

I'm a returning 10-Spot rider

We have others joining us who will purchase their tickets separately (if checked, please enter their names in the second box below)

Number of Tickets *

Please enter the number of riders that you are purchasing tickets for with your forthcoming check

Check Dollar Amount

Tickets are $150. Please indicate the dollar amount of your forthcoming check.

Check Memo

Please describe in detail what your check is intended toward, including the amount, if any, of any donation to Bike Newport in addition to the ticket purchase. Thank you for supporting Bike Newport.

Estimated arrival date

Whether you are mailing your check to Bike Newport at 62 Broadway, Newport, RI 02840, or dropping it off in person, around which date shall we anticipate receipt?

If you're purchasing more than one ticket, please list below the name(s) and e-mail(s) of the rider(s) besides yourself that you're purchasing for (we must have names and e-mails for all riders):

If there are additional riders who are purchasing their own tickets separately, whom you would like assigned to your same starting location, please list their name(s) here:

Waiver and Release of Liability

In consideration of my participation in the event on August 24, 2024 referred to as the 10-Spot Ride, I, for myself, my heirs, executors, and administrators do hereby waive and release any and all rights, claims and causes of action I have or may have against Bike Newport RI, their agents, employees, all event hosts, sponsors, food and drink providers, volunteers, organizers, as well as any other association connected with this event, its representatives, successors and assigns (“Event Organizers”) that may arise as a result of my participation in the Event. I further agree to defend, indemnify and hold harmless Event Organizers from and against any and all personal injuries, damages, losses, causes of action, liabilities and expenses resulting or which may result from my participation in the Event and/or the condition of the raceway, property, facilities or equipment used for the Event.

I also grant full permission to all Event Organizers to store, use, license and reproduce the use of my name, likeness, voice, image, motion pictures, recordings or photograph of me, in any media or in any manner, including any electronic media for any legitimate commercial or business purposes, including advertising purposes. In consideration of this entry being accepted, I hereby for myself, heirs, executors, administrators, waive and release any and all right and claim for damages I may have against the Bike Newport RI, their agents, employees, all event hosts, sponsors, food and drink providers, volunteers, organizers, as well as any other association connected with this event, its representatives, successors and assigns (“Event Organizers”) for any and all injuries suffered by me at said event or while traveling to our returning there from save those proximately cause by the willful Tortuous acts of the state, its agents, servants and its employees. I agree to permit the full use of my name and Picture in any broadcast, telecast and other accounts of this event. In addition, I hereby acknowledge that I am 18 years of age or older or, if applicable, that I am the parent or legal guardian of a child under the age of 18 who I am registering for the Event. I recognize the risks involved in my participation in the Event and do hereby expressly assume all known and unknown risks.

I am physically fit and have sufficiently trained for this Event. Now, therefore, in consideration of the granting of such permission as requested, the undersigned, for him/herself, him/her heirs, executors, administrators and assigns, has released and forever discharged, and does hereby release and forever discharge, the Event Organizers or its agents, servants, and employees, from any and all liability or responsibility for the death, or personal injury to, the undersigned and/or for any and all loss of, or damage to, any property of the undersigned, while in upon, about or near such structure of the premises where such work is located, whether or not such death, injury, loss of damage, shall have been caused or may be alleged to have been caused, by the negligence of the Event Organizers, its agents or employees, the condition of the premises, other work being conducted for the Event Organizers, or from any other cause whatsoever; further for the said consideration, the undersigned hereby undertakes and agrees to indemnify the Event Organizers and save the Event Organizers harmless from and against any and all liability, loss suits, damage, cost and expense, including legal fees, in any way related to the granting of said permission, as requested.

Acceptance of Waiver and Release of Liability *

I hereby attest that I have read and understood the above Waiver and Release of Liability, and I do hereby agree to the terms thereof in their entirety.

I agree