CADD 100 Cyclists Against Drunk Driving Saturday, May 16, 2015 Start & Finish Location: Municipal Park 1921 N. Bicentennial Blvd, McAllen, Tx Start Time 7:30 a.m. Name: _______________________________________________________________________________________________ Address: _____________________________________________________________________________________________ City/State/Zip ________________________________________________________________________________________ Email: _______________________________________________________________________________________________ Phone: ________________________________________DOB: _______________________________Age: ______________ Emergency Contact: Name & Phone No.: ___________________________________________________________________ RIDING EVENT AND T-SHIRT SELECTION CHOOSE BIKE ROUTE: (circle one) 20 40 60 T-Shirt Size: S 80 M 100 L XL XXL (Adult Size) Pre-Registration Fee: $35 PAYMENT METHOD:____ AM EXPRESS, VISA, MC TOTAL ENCLOSED; Card Number________________________________________ Cash____________________ Name on Card _______________________________________ Check No. _______________ Expiration Date:____________________________ Code _____ (Info. Must be the same as registration ) Make check payable to: Bicycle World RGV ALL PROCEEDS GO TO MADD (MOTHERS AGAINST DRUNK DRIVING ) WAIVER In consideration of my entry, I , the undersigned, certify that I am medically able and adequately trained to participate in the May 16, 2015 CADD Bike Ride, and do hereby assume all risks associated with biking in the events including but not limited to falls, contact with other participants, the effects of the weather, traffic and the conditions of the road, such risks being known and appreciated by me. I agree to operate my bicycle in accordance with the laws of the State of Texas and the rules of the bicycle ride. I understand that no personal SAG’s are allowed during this event. Having read the waiver, I for myself and anyone entitled to act on my behalf, waive and release Bicycle World RGV the City of McAllen, and all sponsors from all claims or liabilities of any kind arising out of my participation in the event. Printed Name: ___________________________________________Signature: _____________________________________ If under the age of 18, Guardian signs below Printed Name:___________________________________________Signature: ______________________________________ Packet Pick-Up: Friday, 12:00 a.m. to 6:30 p.m. at Bicycle World RGV, 2025 Nolana, McAllen, Tx