Morse Lake Metric 2009 Mail-in Registration Form

May 17, 2009

Registration Form Required For Each Rider

(Walk-ons welcome! On-site registration is available day of ride)

 

Last Name:
First Name:
 
Address:
   
City:
State:
Zip Code:
Phone Number:
Age:
 
E-Mail Address:
   
Distance - 15 Miles 35 Miles 62 Miles
 

(Routes may vary up to 10% due to construction. Check the website for last minute changes.)

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, 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 any activity associated with this event.

 

Signature _______________________________________ Date _________________________

(If the participant is under 18, a Parent or Guardian must sign.)

 

Pre-Registration Fee

Individual Rider (Includes T-Shirt; Riders under 6 free, but no T-Shirt.)
$20.00
YL • S • M • L • XL • XXL +$2
If no size is indicated, XL will be supplied.
   

Family Rate (Immediate Family Only & includes 2 T-shirts)

Names of additional family riders: _______________________________

____________________________ ____________________________

____________________________ ____________________________
$45.00
YL • S • M • L • XL • XXL +$2
If no size is indicated, XL will be supplied.
YL • S • M • L • XL • XXL +$2
 
   
Additional T-shirt (T-shirts will not be mailed)  
YL • S • M • L • XL • XXL +$2
$10.00
   
Late (or on-site) Registrations Fee (T-shirt not included)
$20.00
   
TOTAL ENCLOSED
$

Lunch included for 1st 50 walk-ins

 

Make checks payable to : WRS Morse Lake Metric

All entries must be received by May 11th. A $5.00 cancellation fee will be charged. No refunds will be given after May 11th. One person per form (photocopies are acceptable). Please mail this form with your check or money order to:

Morse Lake Metric 2009

1303 Brookton Ct.

Indianapolis, IN 46260

 

Or - Register online!