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Morse Lake Metric/June Bug Jamboree 2011 Mail-in Registration Form
May 15, 2011/June 5, 2011
Registration Form Required For Each Rider
(Walk-ons welcome! On-site registration is available day of ride)
| JBJ Distance | |||
(Routes may vary up - distances are approximate)
Release of Organizers and Sponsors: In signing this form for myself, or the abovenamed participant, I understand and agree to absolve all sponsors, organizers, associated entities, and Hamilton Heights High School and Shelbyville High School, be they individuals or organizations, singly and collectively, of all blame for any injury, misadventure, harm, loss or inconvenience suffered as a result of taking part in the Annual Morse Lake Metric or June Bug Jamboree or any activity associated with these events.
Signature _______________________________________ Date _________________________
(If the participant is under 18, a Parent or Guardian must sign.)
Pre-Registration Fee
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Morse Lake Metric
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June Bug Jamboree
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| Individual Rider (Includes T-Shirt; Riders under 6 free, but no T-Shirt.) | $25.00 for one ride or $40.00 for both
rides. |
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| If no size is indicated, XL will be supplied. | |||
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Family Rate (Immediate Family Only & includes 2 T-shirts) Names of additional family riders:
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$55.00 |
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| If no size is indicated, XL will be supplied. | |||
| Additional T-shirt (T-shirts will not be mailed) | |||
$10.00 |
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| TOTALS | |||
| GRAND TOTAL ENCLOSED | |||
| On-site Registration Fee (T-shirt/lunch not included) | $25.00 | ||
Make checks payable to : WRS Bike Rallies
All entries must be received by May 8th (MLM) or May 25th (JBJ). A $5.00 cancellation fee will be charged. No refunds will be given after May 8th (MLM) or May 25th (JBJ). One person per form (photocopies are acceptable). Please mail this form with your check or money order to:
WRS Bike Rallies
1303 Brookton Ct.
Indianapolis, IN 46260
Or - Register online!
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