Tour of Saints Registration Form Or register online at tourofsaints

Tour of Saints Registration Form
Or register online at tourofsaints.com
Please photocopy this form for additional registrants.
ONE FORM PER PERSON.
Name____________________________________________ Print clearly for proper registration!
Address__________________________________________
City, State, Zip_____________________________________
Phone __________________________________________
E-mail___________________________________________
Age
__________
I plan to ride
Circle Gender:
18 miles
Male
35 miles
Female
50 miles
RELEASE AND WAIVER
Riders must sign release to be registered.
Helmets are required.
This is a contract with legal consequences. I understand that Tour of
Saints entry fees are not refundable or transferable to others. I agree to
wear a properly fitted helmet while cycling at the Tour of Saints event. I
know that there are natural and man-made obstacles or hazards, surface
and environmental conditions and risks which, in combination with my
actions, can cause me severe or fatal injury. By my entry into this event, I
hereby accept its inherent risks and certify that I am physically fit and able
to participate. I grant my consent to any duly authorized doctor or medical
personnel to provide me medical treatment in response to any accident,
injury, or illness during this event. I hereby waive and release any and all
claims for damages, including negligence claims, incurred as a result of
taking part in this event against Tour of Saints, College of Saint Benedict,
Stearns County, Bicycle Alliance of Minnesota and all related officers and
employees, and any and all other organizers, sponsors, officials, vendors,
volunteers and associated entities, with their heirs and assigns, singly or
collectively. I grant permission without obligation or liability for the use
of my name, image or other record of me taking part in Tour of Saints for
promotional purposes. I agree to obey all applicable traffic rules; to heed
the direction of public safety officers and event officials; and to ride and
conduct myself with due caution and respect, so as not to endanger or
disrupt fellow cyclists, motorists or others. This statement of risk and waiver
shall be valid for and apply to all activities and events connected with the
Tour of Saints during the year in which this waiver is dated.
I AGREE TO WEAR A HELMET DURING THIS EVENT.
Sign here ______________________________ Date ________________
IF YOU ARE REGISTERING A MINOR (0-17) FOR THE 2014 TOUR OF SAINTS:
I agree that I will be registered with and participate in the 2014 Tour of
Saints with this registered minor rider of which I am a parent or guardian,
and I will ensure that this minor will wear a helmet during this event.
Parent/Guardian ________________________ Date ________________
CIRCLE YOUR FEE
Tour
Day
By June 30 By July 16
Adult Ride
$32
$36
$40
Adult Ride plus
Short Sleeve T-shirt
$44
$48
-
Adult Ride plus
Long Sleeve T-shirt
$47
$51
-
Student Ride* (18-22)
$20
$20
$20
Student Ride* (18-22)
plus Short Sleeve T-shirt
$32
$32
-
Student Ride* (18-22)
plus Long Sleeve T-shirt
$35
$35
-
Youth Ride (5-17)
$10
$10
$10
Youth Ride plus
Youth Short Sleeve T-shirt
$20
$20
-
Youth Ride plus
Adult Short Sleeve T-shirt
$22
$22
-
Youth Ride plus
Adult Long Sleeve T-shirt
$25
$25
-
FREE
FREE
FREE
Child Ride plus
Youth Short Sleeve T-shirt
$10
$10
-
Adult Short Sleeve T-shirt Only
$12
$12
Adult Long Sleeve T-shirt Only
$15
$15
Youth Short Sleeve T-shirt Only
$10
$10
Child Ride (0-4)
Subtract $2 if registering
with four or more riders**
Add a BikeMN Membership
$30 Individual / $40 Household
BikeMN Members subtract $5***
TOTAL
$
$
$
PLEASE CIRCLE SHIRT STYLE AND SIZE
(T-shirt is not included in the price of the ride)
UNISEX ADULT SHORT SLEEVE: S
M
L
XL XXL
UNISEX ADULT LONG SLEEVE:
S
M
L
XL XXL
WOMEN’S SHORT SLEEVE:
S
M
L
XL XXL
YOUTH SHORT SLEEVE:
S (6-8) M (10-12) L (14-16)
Add $2 for XXL Shirts.
T-shirts will be sold on Tour Day as available.
* Students must show current school ID at check in to receive student rate.
** Groups of four or more receive a $2 discount per rider. Groups must register in advance for discount.
*** Current members of BikeMN take $5 off your registration fee.
Add a $30 Individual BikeMN Membership or a $40 Household Membership today and take $5 off your Tour of Saints fee!
(Those with an INDIVIDUAL Membership are limited to one $5 discount. Those with a HOUSEHOLD membership are limited to two $5 discounts.)
Learn more about the Bicycle Alliance of Minnesota at www.bikemn.org.
Checks payable to: Bicycle Alliance of Minnesota
Mail to: Bicycle Alliance of Minnesota - c/o Tour of Saints - PO Box 5078, Saint Paul, MN 55101