Sunday, September 26, 2010 Kapiolani Park 6:15 a.m.

Register for ’s largest family bike ride today!

Established in 1981, the Century Ride takes riders of all ages and abilities through many of Oahu’s most breathtaking views. Choose to ride through Makapu’u and Sandy Beach on a 25 mile route, or through Waimanalo and along the base of Ko’olau range on a 100 mile journey to Ka’a’awa.

Riders enjoy a fully supported ride with aid stations and mechanical support.

The Honolulu Century Ride supports the Hawaii Bicycling League, a 501(c)3 non-profit dedicated to increasing our quality of life through bicycle advocacy, education, and events.

www.hbl.org How to Register In Person Packet Pick-Up Registration services will be Elementary School / Online & Fax provided at packet pick-up on Playground Saturday 9/25/10 8:30 Ends 09/21/10 at 11:59pm 9/25/10 and the morning of the ride a.m. to 3:00 p.m.. Packets are not Register at www.hbl.org or fax to at the registration tent. available at the office. 808-735-7989. Late entries accepted the day of the ride. T-Shirts & Patches Waikiki Elementary School is Ride T-Shirts are available for located at corner of Monsarrat and Mail purchase by pre-order through Leahi Ave., at the end of Waikiki. Received by 9/13/10 to: September 13th. All participants Hawaii Bicycling League will receive a 2010 Honolulu 3442 Waialae Avenue, Suite 1 Century Ride Patch. Honolulu, HI 96816

(P) 808-735-5756 (F) 808-735-7989 3442 Waialae Ave., Suite 1, Honolulu HI 96816 www.hbl.org 2010 Honolulu Century Ride Official Registration Form

О HBL MEMBER О NON-HBL MEMBER О KEIKI (14 & Under) ONE FORM PER PERSON – NOT VALID UNLESS WAIVER IS SIGNED

LAST NAME FIRST NAME О MALE О FEMALE

ADDRESS DATE OF BIRTH

CITY ST ZIP

PHONE ALT. PHONE COUNTRY

EMAIL HBL MEMBER #

EMERGENCY CONTACT PHONE

T-Shirts are purchased by pre-order through 9/13/10. Please include the attached General Information waiver with the registration form. Payment must be received with specified period. The Honolulu Century Ride is a family-oriented event in Entries are non-transferable and non-refundable. Mahalo! which participants ride at their own pace, following Oahu’s eastern and windward shores. Riders start at and finish at Kapiolani Park, beginning at 6:15am. Normal Late Total 5/1 - 8/31 9/1 - 9/26 Starting Order The starting order is determined by riding style and Hawaii Bicycling League Membership О Renew $25.00 О New $25.00 ability, allowing riders of similar abilities to enjoy the 1 year memberships. New riders receive О Family $31 Please include family names: ride safely. a complimentary 3 months membership when registering as a non-member. Group A If your distance covered per month is over 311 miles (500km), average more than 19 MPH (30km), HBL Member Ride Registration $50 $60 and you are used to riding in a group. Non-HBL Member Ride Registration $55 $65 Group B If your distance covered per month is over Join now & pay the member price! 124 miles (200km) average more than 13 MPH (20km), and have experience participating in long rides. Keiki Ride Registration $30 $30 14 and under with adult rider. Group C If you average 6 to 7 MPH (10-11 km) and your goal is to ride slowly while enjoying the scenery. Ride T-Shirt Not Available Circle: Youth M $10 $12 XXL after 9/13 Group D For parents with children under 5 years of Circle: Unisex Adult: S, M, L, XL,XXL age. Honolulu Century Ride Jersey Member Non- Not $65 Member Available Bicycle Helmets & Headphones Circle: Men’s XS,S,M,L,XL,XXL after 7/31 Bicycle helmets are mandatory and must be worn and Circle: Women’s XS,S,M,L,XL $75 properly fastened at all times. Headphones are not allowed while participating in the ride. 2010 HBL Club Jersey Member Non- Not Available Circle: Men’s XS,S,M,L,XL,XXL $65 Member $75 after 7/31 Photography Circle: Women’s XS,S,M,L,XL By participating in the ride, riders provide the Hawaii Bicycling League permission for free use of their name, Please visit www.hbl.org after the ride to complete the ride survey. voice, and picture in any advertising or promotion of the Hawaii Bicycling League’s programs and events. Rider Starting Order A B C D Circle your starting group letter. Team Iron Okole Competition Form a team with at least five people. Each returning Total Payment Mahalo nui loa for supporting bicycling in Hawaii. rider will check-in at the merchandise tent. The team with the most cumulative miles wins. Awards for first О Cash О Check (Payable to HBL) О Charge (MasterCard, Visa, place will be available at the merchandise tent at American Express, Discover) $ 4:00pm. Visit www.hbl.org to download the form. Credit Route Closure Times Card To participate in the 75 mile or 100 mile option you Number MUST leave the 50 mile turnaround by 11:30 am and Exp. Date (MM/YY) the 75 mile turnaround by 10:30 am. Riders after these times will not be permitted beyond the aid stations.

Hawaii Bicycling League Cardholder Signature Today's Date 3442 Waialae Ave., Suite 1 Honolulu, HI 96816 Phone: 735-5756 Fax: 735-7989 www.hbl.org RELEASE and WAIVER of LIABILITY, ASSUMPTION OF RISK, and INDEMNITY AGREEMENT

In consideration for being permitted to participate in any way in Hawaii Bicycle League (“HBL”) sponsored Bicycling Activities (“Activity”), for myself, my personal representatives, assigns, heirs, and next of kin:

1. I 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 (including, without limitation, public and private vehicles) 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. I fully understand that: (a) bicycling activities involve risks and dangers of serious bodily injury to myself and others, including permanent disability, paralysis and death (“Risks”); (b) these Risks and dangers may be caused by my own actions or inactions, by the actions or inactions of others participating in the Activity, by the actions or inactions of others who are not participating in the Activity (including, without limitation, vehicle operators), the course and the conditions in which the Activity takes place, or negligence (including gross negligence) of the “RELEASEES” (as defined below); and (c) there may be other risks and social and economic losses I may suffer (or that I may cause) that are either not known to me or not readily foreseeable at this time. I fully accept and assume all such risks and full responsibility for all losses, costs, and damages I suffer (or cause) as a result of my participation in the Activity or, in the event of participation by a minor, the participation of the minor in the Activity.

3. I hereby release, discharge and covenant not to sue (a) HBL and its administrators, directors, agents, officers, members, employees, and volunteers in the Activity, (b) other participants in the Activity, (c) other volunteers in the Activity, (d) any and all sponsors, promoters, organizers, and advertisers of the Activity (including, without limitation, individuals, organizations and entities that may register participants in the Activity, such as yourself) or provide volunteers for the Activity, and, if applicable, (e) owners, lessors, lessees and licensees of premises on which the Activity takes place, (each considered one of the “Releasees” herein) from all liability, claims, demands, losses, or damages caused or alleged to be caused in whole or in part by the negligence (including gross negligence) of one or more of the Releases or otherwise, including negligent rescue operations.

4. 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 harmless each of the Releasees from any litigation expenses, attorney fees, loss, liability, damage, or cost which any may incur as the result of such claim.

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

______Participant Signature (Sign only if age 18 or over) Date

Participant’s Name (Please Print): ______Age: ______

RELEASE AGREEMENT OF PARENT OR GUARDIAN (Must be completed if Participant is a Minor (under 18 years of age))

I am the parent and/or legal guardian of the participant identified above who intends to participate in the Activity and who is less than eighteen years of age (the “Minor”). I, the Minor’s Parent and/or Legal Guardian, attest and agree by signing below that I have read this entire Release and Waiver of Liability, Assumption of Risk, and Indemnity Agreement and that I, for the Minor and anyone claiming on the Minor’s behalf or through the Minor (including, without limitation, myself and any other parent, legal guardian, or family member), hereby release, discharge, covenant not to sue and agree to indemnify and save and hold harmless each of the Releasees from all liability, claims, demands, losses, or damages to the Minor or on account of the Minor, whether caused in whole or in part by the negligence (including gross negligence) of any of the Releasees. In the event that I, the Minor, or anyone on the Minor’s behalf makes a claim against any of the Releasees, I will indemnify, save and hold harmless each of the Releasees from any and all litigation expenses, attorneys’ fees and costs, losses and other liabilities, damages and other costs incurred as a result of such claim. I represent and attest that I have full legal capacity to execute this Agreement on behalf of the Minor and no additional approvals or signatures are required.

______Parent/ Legal Guardian Signature Date

HAWAII BICYCLING LEAGUE 3442 Waialae Ave., Suite 1 Honolulu, HI 96816 (O) 735-5756 (F) 735-7989 www.hbl.org