Make checks payable to The Rose Pedal
| Date | Description | Amount |
|---|---|---|
| September 07, 2010 | 2010 Rose Pedal | 40.00 |
| 1 Person | ||
| Total due | 40.00 | |
Name
Mailing address
T-shirt (Not guaranteed) {Circle one} Small Medium Large X-Large XX-Large
Distance {Circle one} 7 miles 27 45 65 100
Guardian name for rider under 18
Disclaimer and Waiver. Bicycle riding on public roads is an inherently dangerous sport with many different risks. In consideration of the acceptance of this entry, I waive any and all claims for myself and my heirs against all sponsors, organizers, and associated entities, for injury or illness that may result directly or indirectly from my participation. I agree to abide by all applicable laws and regulations. Helmets are required.
Please remit completed form and payment to 513 Wooded Mountain Trail, Canton, Georgia 30114 or bring form and payment to ride on April 17. We'll see you there!