Register for 12/5/09 TDF Winter Edition: Castaic/Elizabeth/Quail (3 Lakes)
On-Line Registration for Dec 5, 2009 Tour de Francis Winter Edition, CASTAIC CA.
Organized by Francis Marlon Ignacio.
Supported by Adobovelo Cycling Club.
* Required
WAIVER
*
I acknowledge cycling is an inherently dangerous sport. I am participating in this event at my own risk. On behalf of myself, my heirs, and assigns, I hereby release and forever discharge ADOBOVELO, its organizers, volunteers, and sponsors, any and all liability, claim, loss or cost and waive any such claims against any such person or organization arising directley or indirectly from or attributable in any legal way to any action or omission by such person or organization in sponsoring, organizing, or executing this event. To the best of my knowledge I have no physical condition whcih would hinder my ability to participate in this event or which would endanger my health.
I understand, and agree
I Decline to participate
Ride or Support
*
Ride
Support
First Name
*
Last Name
*
I live in ...
*
( CITY only )
Emergency Contact Name
*
(We'll keep the info hidden from public view)
Emergency Contact Phone
*
(We'll keep the info hidden from public view)
Emergency Contact Relationship
*
(How are you related? (spouse, partner, parent, brother, sister, child, friend, etc.)
Bike Club
*
Adobovelo
MMCC
SFVBC
Santa Clarita Velo
So Cal Bike Forum
Newhall BC
FACT
TROPA
River Velo
Siclista Houston
Tracy
Luzvimin
NONE (UNAFFILIATED)
Other: