HOTTER THAN SALSA BIKE RIDE 2008 Bike Ride Registration & Release Form
Name: ______________________________________________________________ Address: ______________________________________________________________ City: _____________________________ State ______ Zip ___________
Phone: _______________________________________________________ Emergency Contact Phone: _____________________________________ Distance: 20 mile_____ 35 mile______ 50 mile______
T-shirt Size: SM______ MED_____ LG_____ XLG_____ T-shirts guaranteed for pre-registered riders. All others will be mailed if supply runs out on day of ride. Entry fee: $25 Ride begins at 8:00 am for all distances at the parking lot across from the Valero Corner Station. Mail in form and fee to: FOR FURTHER INFORMATION ON ACCOMODATIONS AND SALSA FEST. VISIT OUR WEBSITE AT WAIVER: In consideration of my registration, I the undersigned certify that I am medically able
Rider's signature_______________________________________________ Date____________________________ PARENT OR GUARDIAN OF A MINOR: I, as a parent or guardian of the above named minor,
Guardian's signature___________________________________ Date____________________ |