2017 DKF/CBS Bike Ride Registration

 

The Dave Krache Foundation & Cycology Bike Shop

4th Annual Silver Comet Trail Ride: Memorial Day Weekend (May 28-29)

Rider Registration Form

All fields must be completed.  All forms and monies are due by May 1, 2017

Early bird registration ($195) ends March 6

Registration is $225 after March 6

Click here to read General Rules and Regulations before registering.

Email any questions to: help@davekrache.com

Please note:

The short route (slow group) will cover roughly 65 miles (13-15 mph average) both days.

The short route (fast group) will cover roughly 65 miles (16-18 mph average) both days.

The long route (fastest group) will cover roughly 90 miles (18-20 mph average) both days.

Name:*
Sex:*
Address:*
Phone:*
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E-mail:*

 JERSEYS & T-SHIRTS

Please note that requested jersey and t-shirt sizes are only guaranteed to the first 40 registrations received on or before March 1.  Castelli jerseys run about one size small.  If you are unsure of what size you need, please visit Cycology Bike Shop to try one on.

Jersey Size:*
T-Shirt:*

ROUTE OPTION:

If you pause for a moment to think about if you could ride in any of the groups, it is probably a bit too fast.  Please choose the slower group of the two if trying to decide between two groups.

Route Options:*

DINNER & HOTEL OPTIONS

If you have someone coming to cheer you on, please let us know here!

Also, please note that while we'll have a good variety of food (sandwiches, chips, and fruit for lunch Sunday and pasta and salad for dinner Sunday), if you have special dietary restrictions, you may want to plan ahead.  There is a convenience store next to the hotel and a grocery store less than a mile from the hotel, as well.

Hotel Room:*
Name of other rider/hotel roommate: (if applicable)
Do you have non-riders joining you for dinner or staying overnight?*

_____________________________________________

Your application fee includes:

Swag bag with t-shirt

Castelli cycling jersey (guaranteed to the first 40 riders registered)

SAG stop support with snacks and water

Hotel room (double occupancy)

Lunch (Sunday after ride)

Dinner (Sunday night)

Breakfast (Monday morning at hotel)

Photographs shot by Matt Giddens Digital

Community support leading up to and on the day of the ride

Yoga stretch class Sunday before dinner

Opportunity to sign up for on-site massage (space is limited; for additional fee)

Transportation of small overnight bag to hotel from start of ride and back.

1 entry to win prizes at the Sunday dinner (for an additional $10/ticket, more chances may be purchased)

__________________________

Your participation will help kids receive bikes and be able to enjoy the sport of cycling!



THE DAVE KRACHE FOUNDATION/CYCOLOGY BIKE SHOP 2016 SILVER COMET TRAIL CHARITY BIKE RIDE

WAIVER AND RELEASE OF LIABILITY

(READ BEFORE SIGNING)

The undersigned hereby acknowledge that by signing this Agreement, they are assuming risks and agreeing to indemnify, not to sue, and agreeing to release from liability The Dave Krache Foundation and Cycology Bike Shop, its subsidiaries, affiliates, officers, officials, agents, employees, leaders, volunteers, agents, sponsoring agencies, sponsors, members, participants, clubs, teams, riders and if applicable, owners and lessor's of premises used for activities (hereinafter collectively referred to as "Releasees"). It is further understood that the undersigned are giving up substantial legal rights.

In consideration of my voluntary participation in this Dave Krache Foundation/Cycology Bike Shop event, the undersigned voluntarily makes the following agreements. The undersigned acknowledge that the sport of cycling, is an inherently dangerous sport, including but not limited to dangers associated with man-made obstacles or natural surface hazards, trees, logs, vegetation, water, pot holes, rocks, cold weather, extreme heat, rain, other bicycles, other riders, pedestrians, vehicles, fixed or moving objects, equipment failure, inadequate safety equipment, and use of equipment or materials provided. Safety equipment includes the use of a safety helmet, which the undersigned have selected and which satisfies one of the ride requirements The Dave Krache Foundation/Cycology Bike Shop have mandated for all participants, to protect against serious head injury.

The undersigned ACKNOWLEDGE AND FULLY ASSUME THE RISKS associated with participating in activities, as listed above and including the Releasees’ own negligence and the negligence of others. The undersigned fully understand that cycling activities include the potential for serious physical injury, permanent paralysis and/or mental injury, disability or death, loss or damage to person or property associated with presence or participation in the activity. The undersigned understand that particular skills, equipment and personal discipline may reduce the risks, but that risk of serious injury exists.

The risks include, among other things: the dangers of collision with pedestrians, vehicles, other riders, and fixed or moving objects; the dangers arising from surface hazards, including trail irregularity, equipment failure, inadequate safety equipment, use of equipment provided by The Dave Krache Foundation/Cycology Bike Shop or others; motor vehicle accidents; the releases own negligence; the negligence of others; weather conditions; the possibility of serious physical and/or mental trauma or injury, or death associated with this event; slipping and falling; falling objects; water hazards; drowning; exhaustion; exposure to temperature and weather extremes which could cause: hypothermia, hyperthermia (heat related illnesses), heat exhaustion, sunburn, dehydration; and exposure to potentially dangerous wild animals, insect bites, and hazardous plant life.

On behalf of self, spouse, heirs, executors, administrators, legal representatives, assignees, and successors in interest (hereinafter collectively “Successors”), the undersigned hereby RELEASE, INDEMNIFY AND HOLD HARMLESS the Releasees. The undersigned hereby waive any and all rights and claims, including claims arising from the Releasees’ own negligence, which the undersigned has, or which may hereafter accrue, and from any and all damages which may be sustained by the undersigned directly or indirectly in connection with, or arising out of, participation in or association with the events, including any activities incidental thereto, wherever or however the same may occur.

The undersigned participant agrees that it is their sole responsibility to be familiar with the event course and agenda and the Releasees’ rules and any special regulations for the event.  The undersigned agree to comply with Releasees’ rules and regulations/stated and customary terms and conditions for participation.  The undersigned participant agrees to ride and otherwise participate so as to neither endanger myself nor others. If the undersigned participant observes any unusual significant hazard during my presence or participation, the participant will remove themselves from participation and bring to the attention of the ride leader, said hazard immediately. The undersigned participant accepts full responsibility for the condition and adequacy of my equipment or any equipment provided for use. The undersigned participant agrees to wear a helmet, which satisfies the requirements of Releasees’ rules and regulations, the purpose of which is to protect against serious head injury, and the undersigned assume all responsibility and liability for the selection of such a helmet.

The undersigned participant hereby certifies that I have no physical or medical condition which would endanger myself or others, or interfere with my ability to safely participate in this event.

The undersigned agree, for self and successors, that the above representations are contractually binding, and are not mere recitals. The undersigned understands that if claims are made against Releasees that the undersigned will be responsible for any costs and fees incurred by Releasees in defending the claims.

This Agreement may not be modified in any way, and not orally. This Agreement shall be effective for injuries now or which may hereinafter occur in the future, whether known or unknown.

The undersigned hereby agrees to hold harmless any and all Releasees, from any liability for ordinary negligence.

The undersigned hereby expressly agree that this Release and Waiver is intended to be as broad and inclusive as permitted by the laws of the State of Georgia and that if any portion hereof is held invalid, it is agreed that the balance shall, notwithstanding, continue in full legal force and effect.

I have read the above carefully before signing and understand its terms, including giving up substantial legal rights.

Please acknowledge you have read and understand the waiver above.*
Please type rider's first and last name here: (if under 18, please email help@davekrache.com for a hard copy of the form for a parent/guardian to complete)*
Birthdate:*
 / 
 / 
Today's Date:*
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EMERGENCY INFORMATION

Please be sure to include information for a reliable person who will not be on the ride.  In the event of an emergency, we need to be able to reach someone on your behalf.

Please notify this person that you will be going on this ride and that they are your emergency contact.

Name of Emergency Contact:*
Relation:*
Phone of emergency contact:*
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You're almost done!  We promise!

After these two questions are answered, your total will be calculated and you'll be taken to the PayPal page to pay via PayPal account OR credit/debit card.

The PayPal address will show as davekrachesoftball@gmail.com

How did you hear about the ride?*
Name of current rider who referred you:
Checkout: (note - more door prize entries will be available to purchase Sunday night!) -------------------------- *