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2015 LEINENKUGELS CHIPPEWA VALLEY CENTURY RIDE REGISTRATION & WAIVER FORM Rider Information (Please Print) Name Address City State, Zip Phone Email Make checks payable to: Fees Ride $30.00 ($35.00
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How to fill out a century ride waiver form:

01
Start by reading the instructions: Before filling out the century ride waiver form, carefully read through the instructions provided. This will give you a clear understanding of what information is required and how to accurately complete the form.
02
Provide personal information: Begin by filling out your personal information section of the waiver form. This typically includes your full name, address, phone number, and email address. Make sure to double-check the accuracy of the information you provide.
03
Emergency contact details: In the event of an emergency during the century ride, it is important to have an emergency contact person. Fill out the section that asks for your emergency contact's name, phone number, and their relationship to you.
04
Medical information: Century rides can be physically demanding, so it is essential to disclose any relevant medical conditions or allergies. This information is crucial for the event organizers to ensure your safety during the ride. Fill out the medical information section accurately and include any necessary details.
05
Signature and date: Once you have completed all the required sections, sign and date the waiver form. Your signature indicates that you have read and understood the terms and conditions of the century ride and agree to release any liability. Make sure to date the form with the current date.

Who needs a century ride waiver form?

01
Participants: Anyone planning to participate in a century ride event, whether it's a non-competitive ride, organized race, or charity event, will likely need to fill out a century ride waiver form. This includes cyclists of all skill levels and ages who wish to take part in the event.
02
Event organizers: Century ride event organizers require participants to fill out a waiver form to protect themselves legally. By having participants sign a waiver, organizers ensure that riders understand the risks associated with such an event and acknowledge their responsibility for their own safety.
03
Volunteers: In some instances, volunteers who assist during the century ride may also be required to sign a waiver form. This is done to establish their understanding of the risks involved and their agreement to release liability for any potential accidents or injuries that may occur during the event.
Remember, it is essential to follow the specific guidelines and requirements provided by the event organizers when filling out the century ride waiver form.
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