CYCLIST REGISTRATION FORM

FORM DETAILS

The cyclist registration form is below. You can fill the form out online or you can download and submit the PDF or Microsoft Word hard copy versions. If you are filling out the Word or PDF hard copy versions, please email the complete application to:

Email Address: ic3cycling@gmail.com

Or drop it off at a designated location. You can submit payment via the PayPal link below whether you do online or hard copy registration.

PLEASE NOTE THAT THIS FORM IS APPLICABLE FOR BOTH RACES AND COMMUNITY RIDES.

NOTICE/DISCLAIMER

Instructions

**PLEASE READ BEFORE FILLING OUT THE CYCLIST REGISTRATION FORM BELOW**

In the legal release, terms, and conditions below, the word "I" refers to the participating cyclist.

Legal Release

I ACKNOWLEDGE THAT BY SIGNING THE FORM BELOW, I AM ASSUMING THE RISKS ASSOCIATED WITH CYCLING, AGREEING TO INDEMNIFY, NOT TO SUE AND RELEASE FROM LIABILITY INNER CITY CYCLING CONNECTION, INC., IT’S ASSOCIATIONS, CORPORATION BOARD OF DIRECTORS, IT’S RESPECTIVE AGENTS, EMPLOYEES, VOLUNTEERS, MEMBERS, SPONSORS, PROMOTERS, AND AFFILIATES (COLLECTIVELY “RELEASEES”), AND THAT I AM GIVING UP SUBSTANTIAL LEGAL RIGHTS.

THIS ENTRY BLANK AND RELEASE IS A CONTRACT WITH LEGAL AND BINDING CONSEQUENCES AND IT APPLIES TO ALL ACTIVITIES PERTAINING TO INNER CITY CYCLING CONNECTION, INC., REGARDLESS WHETHER OR NOT LISTED ABOVE. IN ADDITION, BY SIGNING THIS FORM I UNDERSTAND AND AGREE TO THE FACT THAT INNER CITY CYCLING CONNECTION, INC. AND ITS AFFLIATES (COLLECTIVELY “RELEASEES”) ARE IN NO WAY LIABLE FOR ANY INJURIES SUSTAINED OR LOSS OF PROPERTY DURING PARTICIPATION AT THIS EVENT OR AT ANY OF ITS RELATED FUNCTIONS.

Additional Terms and Conditions For Cyclist Participation

1) MEDIA RELEASE

I give permission for photos, video footage, and audio of the person listed in this contract taken at INNER CITY CYCLING CONNECTION, INC. and its related functions to be used for all promotional purposes (website, myspace, facebook, magazine, flyers, posters, television, radio, newspaper, etc.).

2) REGISTRATION PAYMENT

The registration fee is due with this application. A $25 assessment fee will be applied to all returned checks. A late registration fee may be applied for late registration.

3) CANCELLATION POLICY

I agree to provide INNER CITY CYCLING CONNECTION, INC. written notice 15 days prior to any withdrawal from an event in order to get a registration fee refund. This written notice can be an email or a mail letter.

4) ORIENTATION BOOKLET/BROCHURE

I receive, read, and fully understand our orientation booklet/brochure ( if any is provided) and all it contains including our racing policies, dress code, and payment policies.

5) CHECK-IN INFORMATION

(Cyclists please have the following at check-in the day of the event)

a) A photo I.D.

b) A copy of the application you submitted.

c) Payment confirmation (i.e: PayPal receipt, money order stub, cash receipt,

Inner City Cycling Connection, Inc. receipt).

d) Check-in and registration must be done no later than 30 minutes before the event starts. You face forfeiture of fees and participation if you try to sign after then.

6) CONTRACT UNDERSTANDING

I HAVE READ ALL THE TERMS AND CONDITIONS SET FORTH IN THIS CONTRACT AND UNDERSTAND THEM FULLY.

Race/Ride Participation Fee and Payment Methods

1) THE FEE FOR A PARTICULAR EVENT VARIES FROM RACE TO RACE OR COMMUNITY RIDE TO RIDE. INNER CITY CYCLING CONNECTION, INC. WILL INFORM YOU OF THE REGISTRATION FEE FOR A RACE/RIDE EVENT.

2) YOU MAY PAY IN PERSON BY CASH, CHECK, OR MONEY ORDER, OR VIA THE PAYPAL LINK BELOW.

3) MAKE ALL CHECK/MONEY ORDER PAYABLE TO: INNER CITY CYCLING CONNECTION, INC.