Tour de Oink
The Morrilton Pig Trail Ride
June 15, 2013
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Time: 7:30 AM
I understand that the Petit Jean Runners all volunteers and common sense requires Bicycle Helmets to be worn by all participants while operating bicycles with no exceptions. I am aware of the risks of bicycling and otherwise participating in this event and voluntarily assume such risks. In consideration of being permitted to participate in this event: (1) I release for myself, my heirs, and personal representatives and the undersigned registrant under age 18 (minor), The Great Arkansas Pig out Committee and the Petit Jean Runners, their directors, officers, volunteers, staff (“indemnities”) from any claim, liability, demand, action, and cause of action whatsoever (“collectively claim”) arising out of or related to any loss, damage, or injury (collectively “Loss”) to myself or my property that I may sustain in connection with or arising out of this event; (2) I, registered as a minor, I (as a parent or guardian) agree to indemnify and hold harmless each Indemnity against any Claim by or on behalf of said minor for any such Loss; (3) Consent to emergency medical treatment if I am injured; (4) shall obey all traffic laws and practice safety in bicycling; (5) agree to wear an ANSI, Snell or CTSC approved helmet at all times during the event when I am operating a bicycle.
___________________________________________ __ Signature (Parent or Guardian’s Signature if rider under age 18)
Location: Conway County Courthouse.
Advanced Ride Registration $25
Ride Day Registration $30
now open at Active.com.
Print out below and send in by U.S. Postal.
14 miles ___ or 40 miles ___
Gender: F ___ M ___
Petit Jean Runners
809 N Cedar Street
Morrilton, Arkansas 72110
CHECKS: Petit Jean Runners
Contacts: Jim Schuler 501-652-0676 email@example.com
T-shirt sizes: S M L XL XXL
City ______________________ State ________________
Phone _______________________________ Age ______
40-Mile Route: Start at Conway County Courthouse – take Hwy. 95N to Hwy. 213 through Hattieville to Hwy. 247 to Hwy. 105 to Atkins, then Hwy. 64E to Blackwell and Hwy. 113 back to the Courthouse.
14-Mile Route: Start at Conway County Courthouse - take Hwy. 64W to Blackwell, turn at Hwy. 113, go east back to the Courthouse.