OCOEE FAT TIRE FESTIVAL

REGISTRATION FORM

You may register on-line at www.active.com

One person to a form. Form may be duplicated.

Name:

Spouse Name:

Street:

City: State: ZIP:

Phone: Age: Sex: Male Female

Emergency Name/Phone:

Email Address:

T-shirt size: SmallMedium Large X-Large XX-Large
(NOTE: T-shirt will be available on day of ride as long as supply lasts - no re-orders)

Children's Names and Ages

Event Fee:

 All riders will be required to wear helmets!

RELEASE: Please read carefully and sign.

In consideration of the acceptance of this application, I hereby, for myself, my heirs, executors, administrators and assigns, and anyone entitled to act on my behalf, release and discharge the Chattanooga Bicycle Club and U.S. Forest Service, plus sponsors, their representatives and successors, directors, officials, employees and volunteers, from any and all claims of injury or damages suffered by me as a result of my participation in or traveling to or from the Ocoee Fat Tire Festival.

I know that bicycle riding is potentially hazardous. I should not enter the Ocoee Fat Tire Festival unless I am medically able and properly trained. I assume all risks associated with riding in the Ocoee Fat Tire Festival, including but not limited to, falls, contact with other participants, the effect of the weather, and conditions of the trail, all such risks being known and appreciated by me. I realize that bicycling is a strenuous activity which requires proper physical conditioning. I hereby certify that I am in such physical condition and good health.

Signature __________________________________________ Date

Signature of Parent or Guardian if under 18 ____________________________Date
(Must be accompanied by adult if under age 16.)

Please fill out and print the form, read & sign the release.
Make checks payable to: CHATTANOOGA BICYCLE CLUB
Send to: Chattanooga Bicycle Club
attn: Fall Festival
PO Box 11495
Chattanooga, TN 37401