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Each individual participant must fill out a registration/waiver form.  You may fill out the form below, or print and mail in your  WAIVER FORM.

If you would like to register as part of a team (10 or more individual riders or walkers), please designate a TEAM CAPTAIN to fill out the TEAM REGISTRATION.  Each participant must still also submit an individual registration/waiver as well (see above). 

The registration fee can be paid on the next page. The fees are:

  • Adult Rider - $35  ($40 after August 25)
  • Child Rider (13 and under) - $15  ($20 after August 25)
  • Adult Walker - $25 ($30 after August 25)
  • Child Walker - $10 (under 4 Free) ($15 after August 25)
  • Family (2 adults, 2 or more children 13 and under) - $75 ($85 after August 25)
  • Team (10 people or more) - $20 per person ($25 per team member after August 25)

 5 miles
 15 miles
 36 miles
 2 mile walk
 Adult S
 Adult M
 Adult L
 Adult XL
 Adult XXL
 Youth S
 Youth M
 Youth L
 Mail-In Payment
 Online Payment
 

RELEASE: IN CONSIDERATION of being permitted to participate in any way in the Lutheran Special School & Education Services (LSSES) (“organization”) sponsored Krankin’ for Kids bike ride (“Activity”) I, for myself, my personal representatives, assigns, heirs and next of kin:

  1. ACKNOWLEDGE, agree and represent that I understand the nature of Bicycling Activities and that I am qualified, in good health and in proper physical condition to participate in such Activity. I further acknowledge that the Activity will be conducted over public roads and facilities open to the public during the Activity and upon which the hazards of traveling are to be expected. I further agree and warrant that if, at any time, I believe conditions to be unsafe, I will immediately discontinue further participation in the Activity.
  2. FULLY UNDERSTAND that (a) BICYCLING ACTIVITIES INVOLVE RISKS AND DANGERS OF SERIOUS BODILY INJURY, INCLUDING PERMANENT DISABILITY, PARALYSIS AND DEATH (RISKS); (b) these Risks and dangers may be caused by my own actions, or inactions, the actions or inactions of others participating in the Activity, the conditions in which the Activity takes place, or THE NEGLIGENCE OF THE “ RELEASES” NAMED BELOW; (c) there may be OTHER RISKS AND SOCIAL AND ECONOMIC LOSSES either not known to me or not readily foreseeable at this time, and I FULLY ACCEPT AND ASSUME ALL SUCH RISKS AND ALL RESPONSIBILITY FOR LOSSES, COSTS, AND DAMAGES I, or the minor, may incur as a result of any participation in the Activity.
  3. HEREBY RELEASE, DISCHARGE, AND CONVENANT NOT TO SUE THE organization, their respective administrators, directors, agents, officers, members, volunteers, and employees, other participants, any sponsors, advertisers, and, if applicable, owners and lessons of premises on which the Activity takes place, (each considered one of the RELEASEES here) FROM ALL RELEASEES OR OTHERWISE, INCLUDING NEGLIGENT RESCUE OPERATIONS; AND I FURTHER AGREE that if, despite this RELEASE AND WAIVER OF LIABILITY, ASSUMPTION OF RISK AND INDEMNITY AGREEMENT I, or anyone on my behalf makes a claim against any of the Releasees, I WILL INDEMNIFY, SAVE, AND HOLD HARMLESSEACH OF THE RELEASEES from any litigation expenses attorney fees, loss, liability, damage, or cost which any may incur as the result of such claim.

I HAVE READ THIS AGREEMENT, FULLY UNDERSTAND ITS TERMS, UNDERSTAND AND THAT I HAVE GIVEN UP SUBSTANTIAL RIGHTS BY SIGNING IT, AND HAVESIGNED IT FREELY AND WITHOUT ANY INDUCEMENT OR ASSURANCE OF ANY NATURE AND INTEND IT TO BE A COMPLETE AND UNCONDITIONAL RELEASE OF ALLLIABILITY TO THE GREATEST EXTENT ALLOWED BY LAW AND AGREE THAT IF ANY PORTION OF THIS AGREEMENT IS HELD TO BE INVALID, THE BALANCE, NOTWITHSTANDING, SHALL CONTINUE IN FULL FORCE AND EFFECT.

MINOR RELEASE: AND I, THE MINOR’ S PARENT AND/OR LEGAL GUARDIAN, UNDERSTAND THE NATURE OF BICYCLING ACTIVITIES AND THE MIN OR’ S EXPERIENCEAND CAPABILITIES AND BELIEVE THE MINOR TO BE QUALIFIED, IN GOOD HEALTH, AND IN PROPER PHYSICAL CONDITION TO PARTICIPATE IN SUCH ACTIVITY.I HEREBY RELEASE, DISCHARGE, COVENANT NOT TO SUE, AND AGREE TO INDEMNIFY AND SAVE AND HOLD HARMLESS EACH OF THE RELEASEE’ S FROM ALLLIABILITY, CLAIMS, DEMANDS, LOSSES, OR DAMAGES ON THE MINOR’ S ACCOUNT CAUSED OR ALLEGED TO BE CAUSED IN WHOLE OR IN PART BY THE NEGLIGENCEOF THE “ RELEASES” OR OTHERWISE, INCLUDING NEGLIGENT RESUE OPERATIONS AND FURTHER AGREE THAT IF, DESPITE THIS RELEASE, I, THE MINOR, OR ANYONEON THE MINOR’ S BEHALF MAKES A CLAIM AGAINST ANY OF THE RELEASEES NAMED ABOVE, I WILL INDEMNIFY, SAVE AND HOLD HARMLESS EACH OF THERELEASES FROM ANY LITIGATION EXPENSES, ATTORNEY FEES, LOSS LIABILITY, DAMAGE, OR COST ANY MAY INCUR AS THE RESULT OF ANY SUCH CLAIM.