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SepTimber Ride OFFICIAL ENTRY FORM 2020 (One participant per form. This form may be duplicated.) PLEASE PRINT. Where did you hear about the SepTimber Ride? ________________________________________________ Full Name: ______________________________________ Address: __________________________________________ City: ____________________________________________ State: __________________ Zip: ____________________ Phone: __________________________________________ Email: __________________________________________ Age:____________ Birth Date: ________ Sex: M F In case of emergency during the ride call: Name: __________________ Ph.: ____________________ T-SHIRT ( sizes ): S M L XL XXL RIDE OPTION: 100K Road Ride 60K Road Ride Trail Ride ENTRY FEES: SepTimber Ride Cost: $45 by 8/1/20 or $55 by 9/12/20 $ ____________ TOTAL (enclosed with form) $ ____________ PLEASE READ AND SIGN THIS WAIVER. Then enclose payment and mail to the address listed below. WAIVER: Participating in the SepTimber Ride can be a serious threat to the health of participating individuals, especially to those who have not trained or are not in excellent health. Those participating should check with their physician prior to participating in the SepTimber Ride. Knowingly and at my own risk I am applying to enter the SepTimber Ride. I myself, executors, administrators, heirs and assignees and anyone entitled to act on my behalf do hereby waive and release any and all actions, claims, injuries, demands, liabilities, loss, damage or expenses of whatever kind and nature including, but not limited to, attorney fees, which may at any time be incurred by reason of my participation in or my preparation for any of the aforesaid events as a result of my participating in the SepTimber Ride. I myself and anyone entitled to act on my behalf also do hereby waive and release any and all actions, claims, injuries, demands, liabilities, loss, damage or expenses of whatever kind and nature against the SepTimber Ride, the City of Eagle River, Town of Lincoln, Town of Washington, Town of Cloverland, Town of Conover, Town of Three Lakes, Town of Sugar Camp, Clearwater Lake, Vilas County, Oneida County, Three Eagle Trail, Tara Lila, LLC, Northern Highland American Legion State Forest, Chequamegon-Nicolet National Forest, Three Lakes Winery, Tribute Brewing Company and Taphouse, Greater Headwaters Trails Foundation, the Eagle River Area Chamber of Commerce and Visitors Center, all sponsors or any employee, volunteer, official or elected official of these organizations. I assume all risks associated with riding in this event including, but not limited to, falls, contact with other participants, the effects of the weather, traffic, and the conditions of the road, all such risks being known and appreciated by me. I further hereby certify that I have full knowledge of the risks involved in this event and I am physically fit and have sufficiently trained to participate. If, however, as a result of my participation in the SepTimber Ride, I require medical attention, I hereby give my consent to provide such medical care as is deemed necessary by authorized personnel. I grant to the SepTimber Ride and its sponsors the exclusive right to the free use of my name, my voice and/or my picture in any broadcast, advertising, promotion or other account of this event. Signature ________________________________________ (MUST be at least 21 years of age) Date ____________________________________________ Make check payable to: Eagle River Area Chamber of Commerce and mail to: Eagle River Area Chamber of Commerce & Visitors Center P.O. Box 1917-SR Eagle River, WI 54521-1917 unisex
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OFFICIAL ENTRY FORM 2020 participated in past SepTimber ... · camp four road highway x ad d a m r o ad n ine mi le a d w bass lake oad shangrila rd lighthoodge oad rice lak o ad

Sep 24, 2020

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Page 1: OFFICIAL ENTRY FORM 2020 participated in past SepTimber ... · camp four road highway x ad d a m r o ad n ine mi le a d w bass lake oad shangrila rd lighthoodge oad rice lak o ad

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SepTimber Ride OFFICIAL ENTRY FORM 2020

(One participant per form. This form may be duplicated.) PLEASE PRINT.

Where did you hear about the SepTimber Ride?

________________________________________________Full Name: ______________________________________

Address:__________________________________________

City: ____________________________________________

State: __________________ Zip: ____________________

Phone: __________________________________________

Email: __________________________________________

Age:____________ Birth Date: ________ Sex: ❑ M ❑ FIn case of emergency during the ride call:

Name: __________________ Ph.: ____________________

T-SHIRT ( sizes ): ❑ S ❑ M ❑ L ❑ XL ❑ XXL

RIDE OPTION:

❑ 100K Road Ride ❑ 60K Road Ride ❑ Trail RideENTRY FEES:SepTimber Ride Cost:

$45 by 8/1/20 or $55 by 9/12/20 $ ____________

TOTAL (enclosed with form) $ ____________

PLEASE READ AND SIGN THIS WAIVER. Then enclose payment and mail to the address listed below.

WAIVER: Participating in the SepTimber Ride can be a serious threat to the health ofparticipating individuals, especially to those who have not trained or are not inexcellent health. Those participating should check with their physician prior toparticipating in the SepTimber Ride.

Knowingly and at my own risk I am applying to enter the SepTimber Ride. I myself, executors, administrators, heirs and assignees and anyone entitled to act onmy behalf do hereby waive and release any and all actions, claims, injuries, demands,liabilities, loss, damage or expenses of whatever kind and nature including, but notlimited to, attorney fees, which may at any time be incurred by reason of myparticipation in or my preparation for any of the aforesaid events as a result of myparticipating in the SepTimber Ride. I myself and anyone entitled to act on my behalfalso do hereby waive and release any and all actions, claims, injuries, demands,liabilities, loss, damage or expenses of whatever kind and nature against the SepTimberRide, the City of Eagle River, Town of Lincoln, Town of Washington, Town ofCloverland, Town of Conover, Town of Three Lakes, Town of Sugar Camp, ClearwaterLake, Vilas County, Oneida County, Three Eagle Trail, Tara Lila, LLC, NorthernHighland American Legion State Forest, Chequamegon-Nicolet National Forest, ThreeLakes Winery, Tribute Brewing Company and Taphouse, Greater Headwaters TrailsFoundation, the Eagle River Area Chamber of Commerce and Visitors Center, allsponsors or any employee, volunteer, official or elected official of these organizations.I assume all risks associated with riding in this event including, but not limited to, falls,contact with other participants, the effects of the weather, traffic, and the conditions ofthe road, all such risks being known and appreciated by me. I further hereby certifythat I have full knowledge of the risks involved in this event and I am physically fit andhave sufficiently trained to participate. If, however, as a result of my participation inthe SepTimber Ride, I require medical attention, I hereby give my consent to providesuch medical care as is deemed necessary by authorized personnel.

I grant to the SepTimber Ride and its sponsors the exclusive right to the free useof my name, my voice and/or my picture in any broadcast, advertising, promotion orother account of this event.

Signature ________________________________________(MUST be at least 21 years of age)

Date ____________________________________________Make check payable to:

Eagle River Area Chamber of Commerce and mail to:

Eagle River Area Chamber of Commerce & Visitors CenterP.O. Box 1917-SR

Eagle River, WI 54521-1917

Northwoods Road RidesRide the beautiful roads of Vilas and Oneida Counties from Tribute Brewing Company to Three Lakes Winery and back on either 100K or 60K loop routes.

The 100K Ride starts at 8am and the 60K Ride starts at 8:30am at Tribute Brewing Company.

• This ride will take place on blacktopped country roads. • Water stations will be located along the routes.• Please bring your own snacks for enjoyment during your ride.• Wine tasting, snack brunch and live entertainment at Three Lakes Winery – the midway point of the ride. • Beer tasting at Tribute Brewing Company after the ride.• End-of-day festivities for all riders. We invite all riders back to Tribute Brewing Company where an

Old Wisconsin brat picnic with all the fixings and door prizes will be available.

Trail RideRide the beautiful Three Eagle Trail from Tribute Brewing Company to Three Lakes Winery and back. This is a 28-mile ride round trip. Choose to ride as far as you wish, then turn around and come back.

The 28-mile Three Eagle Trail Ride starts at 9am at Tribute Brewing Company.

• The surface of the Three Eagle Trail is a hardened limestone aggregate.• A water station will be located approximately halfway on the trail.• Please bring your own snacks for enjoyment during your ride.• Wine tasting, snack brunch and live entertainment available at Three Lakes Winery – the midway point of the ride. • Beer tasting at Tribute Brewing Company after the ride.• End-of-day festivities for all riders. We invite all riders back to Tribute Brewing Company where an

Old Wisconsin brat picnic with all the fixings and door prizes will be available.

60K Road Ride Route100K Road Ride Route28 mile Trail Ride Route

COST OF THE RIDECOST OF THE RIDERegister by:• August 1, 2020 = $45• September 12, 2020 = $55Registration includes: bike ride, long-sleeve wick-away shirt, Old Wisconsin brat picnic with allthe fixings and many door prizes.Note:• Entry fees are not refundable.• This ride will take place rain or shine.• All participants must be 21 years of age

or older.• Cannot guarantee shirt size if registered after

August 1, 2020.• All rides are self-guided and it is strongly

recommended that each rider wear an CPSC approved helmet.

For more information and online registrationContact the Eagle River Area Chamber of Commerceand Visitors Center at 1-800-359-6315 or visit: www.septimberride.com

RIDE RULESRIDE RULESPlease: • Be courteous to others. Let them know of your approach in a clear but friendly manner.

• Ride single file during your ride. • Carry out what you carry in. Nobody likes litter.• Respect private property and stay on the trail or road route.• Obey posted traffic signs.• Bicyclists must yield to pedestrians.• Feel free to take pictures but leave plants, animals and natural features alone.• Take time to enjoy the beauty of your ride.

“BRING A NEW BIKER”DRAWING

Any prior participant of SepTimber Ride who gets a new biker toenter a ride in the 2020 SepTimber Ride may enter their nameinto a special drawing for a 2-Night Stay in the Eagle River area.You do not have to choose the same ride with this person.

Prior Participant _______________________________________________

New Biker(s) _________________________________________________

___________________________________________________________

___________________________________________________________

We will be checking all names to make sure they have notparticipated in past SepTimber Rides.

Return this entry blank with your completed registration form.

unisex

Registration/Check-In7am– 9am at Tribute Brewing Company, 1106 N. Bluebird Road, Eagle River