Register by June 20th to reserve your t-shirt !
Step 1: Register on-line by clicking the Donate button ($25)
Otherwise
Make check payable and mail to:
Bless it Forward
PO Box 535
Columbia, TN 38402
Step 2: Print the entry form, complete, sign and bring it with you to the event.
ENTRY FORM
Name ______________________________________________________________
Address ____________________________________________________________
City __________________________________ State ___________ Zip ________
Phone(s) (_____)_______________________ (_____)______________________
Email________________________________________________________________
Date of Birth ________/_________/________ Sex M / F
Team Captain_________________________________________________________
Emergency Name __________________________ Phone ____________________
T-Shirt Size Sm_____ Med_____ Large_____ XL_____ XXL_____ XXXL_____
RELEASE (Please read carefully, sign and bring to the event)
The undersigned does hereby agree to hold harmless and indemnify the Maury County Parks and Recreation, its employees and agents and Maury County Tennessee, its employees and agents and Bless it Forward, its officers and agents from any claim arising from the conduct of this activity on the county park/county property. This agreement will be binding on the undersigned’s successors, assigns, or heir. The undersigned freely and voluntarily signs this agreement in consideration of being allowed to facilitate/participate in the above described activity.
I know that exercising is potentially hazardous. I should not enter the Turn the Tide Run & Ride unless I am medically able and properly trained. I assume all risks associated with participating in the Turn the Tide Run & Ride, including but not limited to: falls, contact with other participants, the effect of the weather, traffic, and conditions of the road, all such risks being known and appreciated by me. I realize that exercising is a strenuous activity which requires proper physical conditioning.
I hereby certify that I am in such physical condition and good health.
_______________________________________________Date _____________
Signature of Rider
_______________________________________________ Date _____________
Signature of Parent or Guardian (if rider is under 18)
Youth under age 16 must be accompanied by an adult.
All riders must wear helmets.