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~ ONLINE
REGISTRATION
~
The
Children's
Hospital
at Palms
West
1st
Annual
Sunshine
Kids
Metric
Century
& Family
Fun Ride
Saturday,
October
30, 2010
Roger
Dean
Stadium
Jupiter,
FL 33458 |
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| First Name:* |
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Register me for the: |
| Last Name:* |
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| Address:* |
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| Apt / Suite: |
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If I am one of the 1st 200 riders, I get a free t-shirt! |
| City:* |
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My t-shirt size is: |
| State:* |
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| Zip: |
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I hereby make known to whomever it may concern that I, my heirs, executors, and administrators waive, release and forever discharge all rights and claims which I may have or whichever accrue to me against Sunshine Kids, Team Stormriders, Roger Dean Stadium, and/or any other person connected with this event, individually or collectively, from all responsibility for any injury or property damage during the event or while being transported to or from the event.
Rules:
* Wear a Helmet (this is mandatory)
* Ride single file
* Pass on the left
* Obey all traffic laws
* No headphones
* Riders 17 and younger MUST be accompanied by an adult. |
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| E-mail Address:* |
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| Phone: |
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| Date of Birth:* |
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(mm/dd/yyyy) |
| (Minors, 17 and under, must be accompanied by an adult.) |
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| Emergency Contact:* |
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| Relationship: |
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| Phone:* |
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| Team Name: |
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Registration includes:
- T-Shirt (1st 200 registrants)
- Goody Bag
- Pre-Ride Carbs / Rest Stops
- SAG
- Post-Ride Meal 11am - 2pm
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| Signature:
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