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REGISTRATION FOR click here to register through active.com-http://www.active.com/event_detail.cfm?event_id=1553439 Registration
– Complete this form for each rider. This form may be copied. T-Shirt Size: M L XL XXL First Name: Last Name: Street Address/PO Box: City State Zip: Phone Number :
e-mail (for confirmation) please write legibly Release: I understand that I may be injured while bicycling or otherwise participating in this event, and I agree to be responsible for my own actions. I promise to release and hold harmless the officers, volunteers and staff of the Knights for Sight bicycle tour and the Salisbury Lions Club from any claims for injury or damage resulting from my participation in this event. In case of a minor entrant, I agree to indemnify and hold harmless the above-mentioned parties from any claims for injury or damages that said minor might sustain. I promise to obey traffic laws and to practice courtesy and safety in bicycling. Helmets are required. Signature of Registrant : Date: Parent or Guardian of Minor (under 18): I enclose:$30 entrance fee: __________________Additional donation: _______________ Please make checks payable to the Salisbury Lions Club and mail to:Peter Hutchinson 611 Twin Tree Road Salisbury, MD 21801-6721 |