2011 Magic Ride Registration Form (one per person)

 

Last Name______________________ First Name ____________________

 

Company/Organization Name ______________________________________

 

Address: _______________________Phone _________Cell Phone __________

 

City ________________________________ State _______ Zip __________

 

I will be: Biking _______ Skating _______ Jogging ______ Walking _______

 

Registration fee $________ Total Pledges $ _________

 

HOW DID YOU HEAR ABOUT MAGIC RIDE? ______________________________

 

2011 Magic Ride Pledge Form

The Magic Ride is a bicycle, inline skate and jogging tour and fundraiser for CAPA – Child Abuse Prevention and Awareness – Hillsdale County.  All funds raised will go directly to prevention in Hillsdale County.  Present pledges at registration on Saturday, July 16th, 2011, at Courthouse Lawn Downtown Hillsdale.  Make checks payable to CAPA.

 

Sponsor’s Name	Address	Zip	Phone	Amount Cash/check
			Total:

 

 

All Participants must sign (parent of legal guardian if under 18)

 

Waiver: As a participant in the Magic Ride, I hereby assume any and all risks which might be associated with the event.  I further waive, release, discharge and covenant not to sue CAPA, its board members, employees, sponsors, organizers, volunteers, or other representatives for any injuries or damages suffered as a result of taking part in the event.

 

 

Signature _____________________________________________ Date ___________