More than Just Lines on a Map: Best Practices for U.S Bike Routes
Late ride-2011-official-reg-form
1. Friends of the Parks’ L.A.T.E. Ride 2011 Registration Form (one person per form)
Official Registration Form Amount Enclosed
☐ VIP Rider Package $75.00
(Includes entry into “VIP” wave that starts the ride,
1-year membership in Friends of the Parks and VIP perks!)
☐ Registration + 1 Year Friends of the Parks $50.00
membership
» Each participant must sign the waiver below. Unsigned forms ☐ Registration by Mail between May 1–June 30 $45.00
are invalid and will be returned to you. (must be postmarked by June 30, no mail-ins after June 30)
» One participant per form. Copies of this form are acceptable ☐ Registration in person at Packet Pick-Ups $45.00
with original signature.
☐ $45 Night-of-Event Registration $45.00
» If you wish, copy this form for your records before sending. (free t-shirt not included)
» Sorry, no refunds on accepted entries. There is no rain date
for the ride. Proceeds benefit Friends of the Parks. ☐ $25 Volunteer Rider Registration* $25.00
☐ $10 Volunteer Course Marshal Registration* $10.00
Last Name (please print) First Name
☐ $10 Volunteer On-Bike Medic Registration* $10.00
Address Apt. Number ☐ $0 Non-Riding Volunteer* $0
City State Zip Code ☐ $5 Discount for Friends of the Parks Members – $5.00
(Member # )
Daytime Phone Number Evening Phone Number
Total Enclosed $
Email Address (print very neatly!) Note: $45.00 online registration runs through noon on Friday, July 8
*Volunteers must also complete the volunteer registration form
Have you ridden or volunteered in this event before?
☐ Yes ☐ No ☐ I have enclosed a check or money order for $
payable to Friends of the Parks.
Preferred T-Shirt Size ☐ S ☐ M ☐ L ☐ XL ☐ XXL
☐ Please charge my: Visa MasterCard Discover
Your Age Gender ☐ Male ☐ Female
Name as it appears on credit card (please print)
In registering for Friends of the Parks’ L.A.T.E. Ride 2011,
I UNDERSTAND THAT: Credit card account number (write clearly!) Expiration Date
1. I agree to wear a helmet at all times.
2. I agree to obey all Illinois traffic laws. Cardholder’s signature
3. Friends of the Parks’ L.A.T.E. Ride 2011 is a 25-mile bicycle ride through
Note: Credit card payments will be charged a 5% transaction fee on total
public streets and parks of Chicago beginning at midnight on July 10. order (e.g. for a $40.00 transaction, a fee of $2.00 will be added).
4. I will share public roads with motor vehicles, other participants
and pedestrians. ☐ Cash (do not mail cash; cash accepted at Packet Pick-Ups
5. Bicycling through public streets and parks involves risk and can result and Night-of-Event only)
in loss of personal property, bodily injury or even death. ☐ My friend or relative has enclosed payment for me (each
6. I personally assume any and all of the risks associated with participation in registrant must sign a separate waiver). Name of person paying:
this event, and I release, absolve, indemnify and hold harmless Friends of the
Parks, Sports Authority, Shape, Village Cycle Center, MINI, Infinity Broacasting
Company d/b/a WXRT, the Chicago Park District, the City of Chicago and all ☐ My company’s Matching Gift Form is enclosed.
other sponsors and volunteers. ☐ I’d like more information about Friends of the Parks.
Participant’s Signature Date Mail this Official Registration Form (and your Volunteer
Registration Form if applicable) along with your payment to:
Parent/Guardian (for riders under 18) Date
Friends of the Parks, The L.A.T.E. Ride 2011
17 N. State Street, Suite 1450, Chicago, IL 60602
Online Registration: www.lateride.org 24-Hour Hotline: (773) 918-RIDE