Rider 1 Name
Rider 1 Emergency Contact Phone Number
Rider 1 Emergency Contact Name
Rider 1 Age at the time of the Ride
Rider 1 Address, City, State and Zip
Rider 2 Name
Rider 2 Emergency Contact Name and Phone Number
Rider 2 Email
Rider 2 Age at the time of the Ride
Rider 2 Address, City, State and Zip

Waiver and Release Agreements for Riders as referenced in Each Rider Section:

 

I agree and understand that participation in the Urban Farm Bike Ride is a purely voluntary recreational activity. I agree to ride my bike in a safe and proper manner and abide by the rules of the road, and the rules of the bike marshals in this group ride. I also agree to wear an approved safety helmet. Furthermore, I represent that (a) I am physically able and capable of meeting the stresses and demands of this bike ride (b) I am able to operate my bicycle properly and safely, and (c) my bicycle is in good and safe mechanical and operating condition. I acknowledge that I am aware of the risks and dangers inherent in participating in this Ride. I also knowingly and voluntarily assume the risk of injury resulting there from, including the acceptance of all anticipated and unanticipated risks associated with bike riding on roadways concurrently traveled on by other actors, such as, but not limited to, motor vehicles, pets, and animals. By signing below and in consideration for being allowed to participate in the Urban Farm Bike Ride, I acknowledge that Weavers Way Cooperative and its directors, officers, members; Weavers Way Community Programs dba Food Moxie and its officers, directors and staff; volunteers, contributors, sponsors, ride leaders, and other event coordinators a) are not insurers of my personal safety or my property, b) do not assume any liability for personal injury or property loss sustained during this Ride and c) are released from any and all liability. I have read and understand this notice and release, and intend to be legally bound by it.

 

Media Release: By attending this event, you give permission for photos and recordings from the event to be used on Food Moxie and Weavers Way Co-op's social media, website, marketing, and in print.

 

Event Information

Quantity
Price
Total
Ticket

One general rider ticket, includes t-shirt, pizza, and a beer (all while supplies last)

X
$
35.00=
$
0

Contact Information

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Email*
Confirm Email*
Phone*

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$
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