Registration Form 2015 - Rockin River City Ride
Transcription
Registration Form 2015 - Rockin River City Ride
May 8th & 9th Rockin River City Ride . . . It’s a two-day community event that offers a challenge for novice and experienced cyclists and runners alike along the beautiful Evansville riverfront. Participants will be able to choose from a 3 mile or 5 mile GLOW Run/Walk on May 8, 2015 or a 5K, 25K, 60K, 100K Bike Ride on May 9, 2015. The GLOW Run 3 mile or 5 mile Run is the newest addition to the Rockin River City Ride. It’s a unique night event that allows you to enjoy a music filled glowing course. So whether you are a casual walker/runner or an avid runner, we invite you be a part of the fun. GLOW Run May 8, 2015 Rockin River City Riders will enjoy numerous fully-stocked rest stops, excellent free route support, bike park that will include food and merchant vendors, a kids’ park with bounce houses, games, prizes, bike helmet give-away, a bike safety presentation, and live entertainment throughout the day. Price (all distances, all ages) Individual Runner/Walker $20 Opening Ceremony - 7:45 am 100K, 60K Bike Ride - 8:00 am - 9:00 am 25K, 5K Bike Ride - 8:30 am - 9:00 am * Registration Pickup * May 9, 2015* 7:00 am - 9:00 am Price (all distances, all ages) Individual rider $25 Family Ride up to four* $50 All proceeds will support the Junior League of Evansville, Evansville Morning Rotary and their charities and missions. Free T-Shirt Admission to After Party and Glow Item Party in the Park Saturday May 9, 2015 10:00 am – 2:00 pm Location: Sunset Park * Food * Merchant Vendors * * A Kids’ Fun Park * * Bounce Houses * Games & Prizes * Registration includes * Face Painting * Clowns * * Bike Helmet Give-away * 1 free T-Shirt ( 2 Adult T-shirts for Family Registration ) Free admission to the bike park, rest stops and free SAG support. Free lunch and swag bag Free shuttle service and secured bike drop off available *$5 for each additional family member Registration includes Featuring live music, beer garden, food, snacks, and soft drinks (for purchase). Admission is $10 or free with GLOW Run or Rockin River City Ride Registration Rockin River City Ride May 9, 2015 3 Mile or 5 Mile GLOW Run 7:30pm Registration Pickup * May 8, 2015* 5:30 pm-7:00 pm The GLOW After Party at Tropicana May 8th Register online at www.rockinrivercityride.org * Bike Safety presentation * * Live Entertainment * Free Fun for the whole family! The Rockin River City Ride is proud to be an Official Event of the “Let’s Move” Initiative Friday, May 8, 2015 GLOW Run 3 or 5 Miles And After Party Saturday, May 9, 2015 5K, 25K, 60K, 100K Bike Ride And Party in the Park Sunset Park Evansville, Indiana All proceeds will support the Junior League of Evansville, Evansville Morning Rotary and their charities and missions. Payne Wealth Partners, Autotrader, Aerotek, FC Tucker, Piece of Cake, D’Patrick, Donaldson Capital Management, Bob’s Gym, Genesis Wellness, Vectren, Escalade Sports, Bauer’s Tents & Party Rentals, Road ID, Graham Packing, Cook Orthodontics, Kenny Kent Toyota Lexus Scion, Hand Center of Evansville, Riney Hancock, Heritage Federal Credit Union Please feel free to make copies of this registration form if needed. GLOW Run * May 8, 2015 * Tropicana * Evansville, Indiana 3 mile or 5 Mile Run/Walk Rockin River City Ride * May 9, 2015 * Sunset Park * Evansville, Indiana 5K, 25K, 60K & 100K Bike Ride Helmets are mandatory. **Adult T-Shirts Sizes D.O.B Names ( Please Print ) Release Initials Route Length Can’t guarantee t-shirt size for entries received after May 4, 2015 (12 & under shirts not included in price) S M L XL 5K, 25K, 60K, 100K Ride, 2XL 3 or 5 Mile GLOW Run/Walk Office Use Only _ Mailing Address ____________________________________________________________________________ Street Apt.#/P.O.Box ________________________________________________________________________________________________ City State Zip ________________________________________________________________________________________________ Phone Email Waiver Registration ___________________________________________________ _____________________________________________________ Signature of Participant Payment: Check ______________ Signature of Parent/Guardian Cash___________ Total Due $_______________ (make payable to Junior League of Evansville) Credit Card # __ __ __ __ - __ __ __ __ - __ __ __ __ - __ __ __ __ (MasterCard or Visa) Exp. Date:__________ CVV Code:__________ X # = TOTAL Individual GLOW Runner/Walker On or before May 4, 2015 $20 X ____________= _____________ After May 4, 2015 $25 X ____________= _____________ On or before May 4, 2015 $25 X ____________= _____________ After May 4, 2015 $30 X ____________= _____________ $50 X ____________= _____________ X ____________= _____________ In signing this form for myself, and/or the above named participant (s) (including if he or she is under 18), I understand and agree to absolve all of the sponsors, organizers, the Junior League of Evansville, Evansville Morning Rotary, and the City of Evansville 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 Rockin River City Ride or in any of the activities associated with said event. I also understand that there are no registration refunds available. We are a rain or shine event. I also understand that helmets are mandatory and all bike laws need to be followed. I also understand that all photos taken at the event can be used for marketing purposes by the Junior League of Evansville and Evansville Morning Rotary. Cost Individual Bike Rider Family Ride 4 Family Member Additional Family Members $5 After Party $10 X ____________= _____________ Extra T-Shirts ** $5 X ____________= _____________ (12 & under shirts not included in price) _____________________________________ Signature of card holder Please send your completed form and remittance to : Junior League of Evansville * 812-434-6710 * * 123 N.W. Fourth Street, Suite 422 Evansville, IN 47708 * www.rockinrivercityride.org * [email protected] TOTAL $ __________________ Registration Information Early registration is encouraged! There will be an extra $5.00 late fee for registrations postmarked after May 4, 2015 and for all day-of-ride entries. On-line registration is also possible at www.rockinrivercityride.org and Active.com. Route and SAG Support Accommodations All 4 routes include well marked turns, map, cue sheet, food and drink rest stops and FREE SAG Support. SAG support will contain minimal tools to assist in minor bicycle repairs only. SAG support will be off the road at 2:30 pm. Please plan to be off the route by 2:00 pm. Hotel/Motel information is available through the Evansville Convention and Visitors Bureau at 812-421-2200 or www.visitevansville.com. A very special thank you to : Pre-Registered Family Registration Entry Fee Bike Riders immediate family members qualify for a special price of $50.00 per family of 4. There will be a $5 fee for each additional family member. Runners & Riders Under 18 Runners, walkers & riders under 18 are encouraged to participate in the GLOW Run and the Rockin River City Ride. Participants under 18 must be accompanied by a walking, running or cycling parent or responsible adult. Participants under 18 need the approving signature of a parent on the application. Register Online: www.rockinrivercityride.org Rest Stops and Free Post –Ride Lunch and Events. Our rest stops will feature live entertainment and refreshments throughout all four routes. Free lunch will be provided to all ride participants. Spudz-N-Stuff, Memphis & Main BBQ and Pita Pit will be served between noon and 2:00 pm at the Bike Park. www.juniorleagueofevansville.org For more information contact the Junior League of Evansville office at 812-423-9127 For more information follow us on Facebook www.evvmorningrotary.com