T-shirt size:Small Medium
Large
X-Large
XX-Large (NOTE: T-shirt may not be available on day of
ride it not ordered by 3/31/05)
Entry Fee:
Postmarked on or before March 31,
2008
$30
Postmarked after March 31, 2008
$35
TOTAL ENCLOSED
All riders will be
required to wear helmets! RELEASE Please read carefully and sign. I understand that bicycle
riding is potentially hazardous and involves a certain degree of risk that may
result in injury or death. In consideration of the benefits to be derived after
carefully considering the risk involved, I am voluntarily entering into these
activities with knowledge of such danger recognizing that participation in the
The Way Home. Highlands Of Alabama Century '08 is
voluntary. I hereby accept any and all risk of injury or death. In consideration
of being permitted to participate in this activity, I, for myself, my spouse,
legal representatives, heirs, and assigns, hereby release, waive, indemnify and
hold harmless, and discharge Club, its trip leaders, coordinators, sponsors,
representatives, officers, directors, employees, volunteers and any other person
associated with such activity, from all liability to me, my spouse, legal
representatives, heirs, and assigns, for any and all damage, any claim for
damages resulting therefrom, on account of injury to my personal property, or my
death, whether caused by negligence of Club or otherwise while I am taking part
in this activity.
I understand that bicycle riding is physically
strenuous and I should not participate in a Club activity unless I am medically,
physically, and mentally able. I assume all risks associated with participating
in a Club event including, but not limited to, falls, contact with other
participants, the effects of weather on trail or road conditions, traffic, and
conditions on roads or trails. By signing this document, I certify that I have
read and understand the importance and significance of it; and fully agree to
all of the terms and provisions, and the release of
liability. Signature ___________________________________________ Date
Signature of Parent or Guardian if
under 18 ________________________________Date
(Must be accompanied by
adult if under age 16.)
Please fill out and print the form, read & sign
the release. Make checks payable to:The Way Home Send to: The Way Home
attn: century
PO Box 680145
Fort Payne, Al 35968