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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

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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