Registration Form

benefitting

Big Brothers Big Sisters
of Racine/Kenosha, Inc.

“Biking For Kids 2010” Registration Form

Want to register with Credit card? Click here!

To register by US Postal mail? Click here!

Please fill out and submit the following form so that it arrives in our offices in advance of the event. To qualify for the preregistration discount, payments must be received in our office on or before August 4th.

Name (last name first)

Address

City, State, Zip

Phone

Payment Amount

Ride Length

Single Tee Shirt Size

Type in up to 5 Family Shirt Sizes
(include additional children if necessary)

Big Brothers Big Sisters of Racine/Kenosha, Inc. “Biking for Kids”
Waiver and Release - Read Carefully

I, the undersigned, being mindful of my own health and physical condition, am voluntarily participating in the Big Brothers Big Sister of Racine/Kenosha, Inc. “Tour de Vour” Bike Ride with full knowledge of the nature of the activity, and the physical skills and conditioning required for participation. I assume all risks and hazards incidental to such participation including transportation to and from the activities; and I do hereby waive, release, absolve, indemnify and agree to hold harmless, Big Brothers Big Sisters of Racine/Kenosha, Racine Cyclery, their officials, organizers, supervisors, course volunteers and participants to any claim and damage as a result of my participation in the Big Brothers Big Sisters of Racine/Kenosha “Tour de Vour” Bike Ride.

I agree to the above (type in yes)

This is important - If a check is not received by August 4th, you must pay the same day fee on the day of the event. If you sent a check and it did not arrive by the deadline, it will be returned to you.

Make checks payable to: Big Brothers Big Sisters of Racine-Kenosha, Inc

Mail to:
Big Brothers Big Sisters of Racine-Kenosha
Biking For Kids 2010
2302 Dekoven Ave.
Racine, WI 53403

INFORMATION: Telephone 262.637.7625

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