Registration for :

Let's Ride

Step 1 - Personal Info
Step 2 - Confirmation
Step 3 - Print
Step 4 - Payment

PERSONAL INFORMATION:

*Last Name:			*First Name:
*Street address:
*City:			*Province:
*Telephone:			*Email:

*Date of birth: (YYYY-MM-DD)			*Medical insurance number:

*In case of emergency(name):			*In case of emergency(telephone):

UCI code:			Club:

Category:

You must select one

Cost

$ 50

WAIVER

I, the undersigned, agree and understand that there are inherent risks and dangers attached to the sport of cycling and the cycling competitions. I agree to assume completely those risks and dangers of whatever nature. Moreover, I agree to assume solely full responsibility for all damage of any nature that I might cause to third parties. Moreover, in consideration of the acceptance of my registration at this event as a competitor, I hold free and harmless from any liability the organizers, its administrators, its organizing committee, its employees, its representatives, its volunteers, the site owners, the Canadian Cycling Association, its representatives and volunteers, Velo NB Inc., its representatives and volunteers, the town, the owners of the lands, all sponsors and organizations involved in the event, as well as any other corporation or person directly or indirectly involved in this event. I therefore waive my right to claim and my right of action against each and every person mentioned in the forgoing lines in relation with the occurrence of any loss, damage or injury of any nature that I might sustain regarding this event, before, during and after its happening. I here by acknowledge that I recognize the risks inherent in participating in mountain biking and have prepared adequately for such, I hereby assume all risks in same. I have read and understood the above wavier.

*I acknowledge that I have read the attached Waiver

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Photo contribution: Falstaff Media, Don Ricker, Luc Arseneau