SWTR2008Registration
 

SOUTHWEST TANDEM RALLY XVIII

TULSA OKLAHOMA

April 25, 26 and 27, 2008

 
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  :: REGISTRATION FORM  ::  LODGING INFORMATION  ::  WHO IS COMING   ::  POST TOUR ::
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PRINT THIS FORM, FILL IT OUT -

MAKE CHECKS PAYABLE TO "TULSA BICYCLE CLUB"

AND MAIL TO:

Southwest Tandem Rally

Bob and Jo Carol Williams

7721 S. 28th West Avenue

Tulsa, OK  74132

 

Captain                                                                             Age:

Meal Preference

(circle one)

Meat     Vegi

Stoker   Age:

Meal Preference

(circle one)

Meat     Vegi
Child 1   Age:

Meal Preference

(circle one)

Meat     Vegi
Child 2   Age:

Meal Preference

(circle one)

Meat     Vegi
Child 3   Age:

Meal Preference

(circle one)

Meat     Vegi
Child 4   Age:

Meal Preference

(circle one)

Meat     Vegi
Address    
City   ST ZIP  
Phone    
Cell Phone    
Email    

Registration includes:

* Friday Social Hour and Dinner

* Saturday breakfast, lunch, social hour and dinner

*Sunday Breakfast

(Does not include lodging)

Quantity
Cost per Team
Total Cost
Entry Fee Adult Tandem Team  
$235.00
  
Additional Adults  
$100.00
  
Entry Fee (ages 5-12 as of April 1, 2008)  
$50.00
  
Total Cost for Entry Fees
     

WAIVER

The Fine Print – Waiver:  In consideration of your allowing me to participate in the Southwest Tandem Rally, I, intending to be legally bound, release and discharge any and all claims for damages, death, personal injury or property damage, which I may have, or which may hereafter accrue to me, as a result in my participation in this event.  This waiver/release is intended to discharge in advance the Southwest Tandem Rally, and its organizers from and against any and all liability arising out of or connected in any way with my participation in the Southwest Tandem Rally, even though that liability may arise out of negligence or carelessness on the part of the Southwest tandem Rally, or its organizers.

I further understand that serious accidents occasionally do occur on bicycle rides and that participants occasionally sustain mortal or serious personal injuries, and/or property damage, as a consequence.  Knowing the risks, nevertheless, I hereby agree to assume those risks and to release and hold harmless the Southwest Tandem Rally and its organizers, who (through negligence or carelessness) might otherwise be liable to me for damages or injuries.  It is further understood and agreed that this waiver, release and assumption of risk is binding on my estate, my heirs, and assigns.  I agree to abide by all applicable laws and regulations.  I will wear a Snell or CPSC approved helmet.  I accept responsibility for the condition of my equipment.  I agree that the above representations are contractually binding.  I will accept and assume responsibility for my actions.

I understand that partial refunds are available until April 3, 2008 and that there are NO refunds after April 3, 2008.  I also understand that there is a $20 charge for each refund.

 

Captain signature:  __________________________________________________________________________Date:_________________         

Stoker signature:  ___________________________________________________________________________Date:_________________

Signature of parent or adult for children under 18:  ______________________________________________Date:________________