Register


Event Date: September 22, 2012
Event Location: Marion, IL
Registration: 7:00am, Mass Ride at 8:30am
Ending Time: 4:00pm at starting point (must sign out)

The 2011 entry form is now available, please click on the link below to download a PDF copy of it. Please print out form and mail.

Download Registration Form

If you do not have a PDF viewer follw the link below to get a free one. Adobe Acrobat


New! Complete the Form Online

h4>Attendee Information

* indicates a required field.

Name*
Name (2)
Name (3)
Name (4)
Address*
City/State*
Zip/Postal Code*
Main Group Contact
Phone*
Email Address*
Emergency Phone*

Tour Release Form

PLEASE READ CAREFULLY

In consideration of the acceptance of this application, I hereby, for myself, executors, administrators and assigns, and anyone entitled to act on my behalf, release and discharge the sponsors, directors, officials, employees and volunteers, from any kind of illness or damages suffered by me as a result of my participation in, or traveling to or from, the Tour de Hope.

I know and understand that bicycling is potentially hazardous. I should not enter the Tour de Hope unless I am medically able and properly trained. I assume all risks associated with riding the Tour de Hope, including, but not limited to: falls, contact with other participants, the effect of weather, traffic, and conditions to the roads; all such risks being known and appreciated by me. I realize that bicycling is a strenuous activity which requires proper physical conditioning. I do hereby certify that I am in such physical condition and in good health. I agree to wear all appropriate equipment, including a helmet, at all times while riding the Tour de Hope.

RIDERS MUST BE AT LEAST 18 YEARS OF AGE

 I agree to the release form.

Safety

Our primary concern is for your safety. Remember you are sharing the road with motorized traffic. You must obey all traffic laws. A release waiver on your entry form MUST Be signed prior to the Tour de Hope. Wearing of Approved and secure bicycle helmet is REQUIRED.

Entry Fee

Entry is $35.00 per rider.

Entry is $30.00 per rider after September 15th, no t-shirt included.

Please send your check to: Hands of Hope 808 W. Prairie St. Marion, IL 62959

Total Number of Entrants*

T-Shirt(s)

Please enter shirt sizes. Only 1 shirt per entrant. You must register by September 15th to receive shirt(s).

Adult Size Quantity
Small
Medium
Large
X-Large
XX-Large

Ride Choice

Please select your choice of ride.