BubbaFest Florida Keys November 3th November 10th, 2018 Please TYPE or PRINT CLEARLY

Transcription

1 BubbaFest Florida Keys November 3th November 10th, 2018 Please TYPE or PRINT CLEARLY Name: Male: Female Address: Age City, State & Zip: Home Number: Address: Cell Phone: Shirt Size Vegetarian meal plan: YES NO THIS is the only additional food option available Emergency Contact: Name: Contact Number Medical Conditions Do you have any medical conditions you wish to share and make Bubba aware of? Please explain:. Included with registration fee: Sunday and Friday night hotel at the Marathon Key Holiday Inn Express Monday-Tuesday-Wednesday-Thursday full PAMPERING service Breakfast: Sunday-Monday-Tuesday-Wednesday-Thursday-Friday-Saturday. Dinner Saturday Welcome Dinner-Sunday-Monday-Tuesday Thursday Friday farewell dinner party Baggage transportation Route Sheets SAG Support Bike Mechanic Open Air Trolley Tour of Key West Fun Surprises Fee for single person not sharing a room or tent: $1530 per rider Fee for a double, two people sharing same room and same tent: $1210 per rider If registering as a double, both registration forms must be mailed together. The ride will not pair up riders Make check for the full amount payable to: Bubba Barron PO Box Tampa, FL Cancellation Policy/Refund This event realizes unplanned issues come up which makes changing plans a must. If you cancel before September 2 there will be a $500 Cancellation Fee. Due to contractual obligations, there will be no refund after September 2. This cancellation policy must and will be enforced. If you do not get a confirmation within two weeks of registering, please GraceForBPP@Yahoo.com to assure the registration form was received. Attached waiver and cancellation acknowledgement form must be signed unaltered and sent with registration in order for the registration to be processed..

2 Cancellation Policy BubbaFest---Florida Keys Please read carefully and fully understand before sending in your payment. This cancellation policy will be strictly adhered to. Please, DO NOT ask for exceptions to this cancellation policy, none can/will be granted. This event realizes unplanned issues come up which makes changing plans a must. If you cancel before September 2 there will be a $500 Cancellation Fee Due to contractual obligations, there will be no refund after September 2. This cancellation policy must and will be enforced. No monies can be held over for another event. Please do not ask for an exception. Thank you for understanding. Trip insurance is available from various sources. The event will assist with processing a claim if cancellation is after September 2. Again, the stated cancellation policy will be strictly enforced with no exceptions. Trip Insurance Trip insurance is highly suggested and available from many sources. Please review cancellation policy once again while deciding if trip insurance is an option you should consider. Again, this tour cannot stress enough; the stated cancellation policy will and must be strictly adhered to. NO EXCEPTIONS can/will be allowed for ANY reason. If you must cancel, the tour will be more than happy to assist you in filing a claim with your trip insurance company. I am fully aware of the stated cancellation policy and understand stated cancellation policy will and must be strictly enforced. I also understand trip insurance is available from various sources and if for any reason I must cancel, I understand the tour will assist in filling a claim with said insurance company. Printed Name: Signature:

3 BubbaFest Florida Keys Waiver and Release (Must be signed and mailed with registration) This waiver is a contract with legal consequences. Please read this carefully. I, the undersigned, know that BubbaFest Florida Keys is a potentially hazardous event, and attend it out of my own free will and choice. In choosing to attend BubbaFest Florida Keys and any related events or activities, I fully accept and assume all risks, whether before, during or after BubbaFest Florida Keys and/or related events or activities. These include, without limitation, risk of physical injury mental injury, mental stress, emotional stress, trauma, death, contact with other participants, equipment failure, inadequate safety equipment, effects of weather including extreme temperature or conditions, traffic, contact with motor vehicles of all types and descriptions, collision with other riders or fixed or moving objects, the conditions of the roads, theft, camping and participating in events or activities along the route. All risks are known, understood, and appreciated by me. I waive any and all specific notice of the existence of risks. I agree that leaders and maps are provided for my convenience only and do not guaranty a safe route or trip. I shall assume and pay my medical and emergency expenses in the event of injury, illness or other incapacity regardless of whether I authorized such expense. I realize BubbaFest Florida Keys requires physical conditioning and I represent that I am in sound medical condition capable of participating in the ride without risk to myself or others. I have no medical impediment that would endanger myself or others. I understand that situations may arise during BubbaFest Florida Keys that may be beyond the control of sponsors, promoters and organizers. I will be solely responsible for the condition and adequacy of my bicycle, safety gear and riding equipment. I will ride safely within the limits of my own abilities, my equipment and the riding conditions and in a manner so as not to endanger myself or others. Knowing these facts and in consideration of my entry, acceptance, admission to and participation in BubbaFest Florida Keys and its related events and activities, I, for myself and anyone acting on my behalf, waive, release, discharge, indemnify, covenant not to sue and agree to hold BubbaFest Florida Keys, the staff of BubbaFest Florida Keys, Bubba s Pampered Pedalers, the staff of Bubba s Pampered Pedalers, any and all sponsors, communities, organizations, BubbaFest Florida Keys and Bubba s Pampered Pedalers employees-representatives-volunteers, agents-insurers-insurance brokers and successors of all above, harmless from any and all claims, demands and actions of any and every kind that I have, may have or may hereafter accrue against the released parties, directly or indirectly, arising out of or relating in any respect to my attendance or participation in BubbaFest Florida Keys and its related events and activities, including, without limitation, litigation expenses, attorney fees, loss liability, damages or cost. My waiver and release of all claims, demands, actions and liability shall include, without limitation, any injury, damage or loss to my person or property which may be caused by any act, or failure to act, by the above identified persons and entities or sustained by me before, during or after BubbaFest Florida Keys and its related events and activities. I agree to abide by all BubbaFest Florida Keys rules and regulation. I waive my rights of privacy or publicity and grant permission to all of the forgoing to use any photographs, motion pictures, videotapes, recordings or other record of this event for any legitimate purpose. I further agree to indemnify and hold the parties released above harmless from any and all losses, damages, claims and expenses, including attorney fees, arising from or relating in any respect to my participation in BubbaFest Florida Keys or its related events and activities. If I am a minor, my parent or guardians also signing on my behalf and we both agree to be bound by the same terms of this agreement, waiver and release. If I am the parent or legal guardian of a minor child participant, I certify that the minor is in good health, qualified and in proper physical condition to participate in BubbaFest Florida Keys and I hereby release, discharge, covenant not to sue, and agree to indemnify and save and hold harmless all of the above released parties from all liability, claims, demands, losses or damages on the minor s account incurred in connection with BubbaFest Florida Keys or its related events and activities. I will indemnify, save and hold harmless each of the released parties from any litigation, expenses, attorney fees, loss liability, damage or cost that may occur as the result of any such claims in connection with the minor s participation in BubbaFest Florida Keys and its related events and activities Signature (signature of parent or guardian if under 17 years of age) Print Full Name Date:

4 Safety Promise While riding on this tour, I promise at all times to: Wear my bicycle helmet while riding my bicycle Wear bright clothing making myself more visible Equip my bicycle with a rear blinking light and have light blinking while riding Wear safety riding vest which is provided by event Use standard hand signals announcing turns Not wear any type of headphones while riding my bicycle Not to talk on cell phone or text while riding my bicycle Obey all traffic signs and signals Ride defensively always being aware of other riders, vehicles, and pedestrians around me, never assuming what they are doing or what they are about to do. Call out car up/car back to riders around me Point out road hazards and yell Gravel Hole Glass etc to riders around me Call out my intentions to riders; Slowing Stopping Turning Ride in single file when a motor vehicle is behind me Never ride more than two abreast and never be a road hog thus allowing motor vehicles and other bicyclists plenty of room to safely pass Always ride as far to the right as safely possible Use common sense and be courteous towards motorists and other bicyclists Never to ride before daylight or after dusk. If stopping for any reason, I will move completely off the roadway Call out On your left while passing a slower rider and never pass on the right. I understand and fully accept I can and may be removed from this tour, without refund, if I do not obey these safety rules. To be a smart, safe, and savvy bicyclist Printed Name Signature Date

5 BubbaFest Florida Keys Jersey Order Form Print Name Clearly: Check the appropriate boxes: Male Female Size: Small Medium Large XL 2XL 3 XL 4XL Short Sleeved Sleeveless Important information: Bicycle jersey s run small, even BubbaFest jerseys. If you are unsure what size jersey you need, please stop by your local bicycle shop and try one or two to get an idea of sizing before placing your order. BubbaFest jerseys are custom made so what you order will be what you must keep. It will be impossible to exchange a jersey for another jersey unless the exchange is made between two riders. Jersey orders must be received by September 20 to assure availability for BubbaFest. A special rate of $60 is available for each registered rider. At this great price, only one per rider can be offered. If you wish additional jerseys, they are priced at $75 per jersey. Check payable and mailed to: Bubba Barron Number of jerseys ordered: P.O.Box Tampa, FL Total Amount Enclosed: I understand bicycle jerseys run small and it is my responsibility to order my proper size. I also understand and agree, the size and style I order will be the size and style I must keep. I also understand the jersey order must be received before September 20 to assure availability on BubbaFest. Print Name: Signature: