Pedal the Petrified Registration Form

You must complete this registration form for EVERY person
riding a bike in this event.

Riders who do not have a completed registration form AND have not paid the rider fee will not be allowed to ride in this event on Sept. 20, 2014. NPC CANNOT accept payment or registration forms at the Petrified National Park on September 20.
No exceptions.

You must complete this registration form for EVERY person riding a bike.

Thank you for helping support student scholarships at Northland Pioneer College!


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Please read any waivers carefully. They include releases of liability and waiver of legal rights and deprive you of the ability to sue certain parties. Do not agree to these documents unless you have read and understood it in its entirety. By agreeing electronically, you acknowledge that you have both read and understood all text presented to you as part of the registration process. You also understand and agree that events carry certain inherent dangers and risks which may or may not be readily foreseeable, including without limitation personal injury, property damage or death. Your ability to participate in the event(s) is/are subject to your agreement to the waivers and by agreeing herein, you accept and agree to the terms of the waiver and release agreements.

Open printable version of the following waiver

Open printable version of the following waiver

Agreement

You must be over 18 years of age OR the parent/legal guardian of a minor under 18 years of age OR the legal guardian of an incapacitated and/or mentally challenged person in order to agree to the text above.

By entering my name below, I assert that I have reviewed and agree to all of the waivers and agreements above.

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