Three Rivers Festival Tour Registration Form - You may also register online at: www.BikeReg.com/three-rivers-festival-tour Three Rivers Velo Sport Inc. Name: Are You A 3RVS Member?
Print clearly Yes: No: Home of Team 3RVS The 2015–’16 National Bike Challenge Champions, X-Large Team Division
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The Entry Fee: The entry fee includes snacks at all the Ride Entry Fee Number of each Totals SAG stops, roving vehicle sag support, well marked routes and a route map. For more information about the Adults X$25 3RVS bike club visit our website at 3rvs.com, pick up a Children under age 15 X$15 3RVS Members X$15 brochure at your local bicycle shop or ask one of the friendly volunteers at the tour. Sub-total Entry Fees
Make Checks Payable to: Three Rivers Velo Sport. Mail Registration form with fees & signed waiver to 3RVS Presents: Festival Tour, PO Box 11391, Fort Wayne, Indiana The 47th Annual 46857-1391.
Three Rivers Festival Tour 2018
Grand Total $
ACCIDENT WAIVER AND RELEASE OF LIABILITY
I acknowledge that this athletic event is an extreme test of a person’s physical and mental limits and carries with it the potential for death, serious injury and property loss. The risks include, but are not limited to, those caused by terrain, facilities, temperature, weather, condition of athletes, equipment, vehicular traffic, actions of other people including, but not limited to, participants, volunteers, spectators, coaches, event officials, and event monitors, and/or producers of the event, and lack of hydration. These risks are not only inherent to athletics, but are also present for volunteers. I hereby assume all of the risks of participating and/or volunteering in this event. I realize that liability may arise from negligence or carelessness on the part of the persons or entities being released, from dangerous or defective equipment or property owned, maintained or controlled by them or because of their possible liability without fault. Three Rivers Velo Sport Inc. I certify that I am physically fit, have sufficiently trained for participation in the event and have not been advised otherwise by a qualified The area’s premier cycling medical person. I acknowledge that this Accident Waiver and Release of Liability form will be used by the event holders, sponsors and organ- club since 1969 izers, in which I may participate and that it will govern my actions and responsibilities at said events. In consideration of my application and permitting me to participate in this event, I hereby take action for myself, my executors, administrators, heirs, next of kin, successors, and Route Map assigns as follows: (A) Waive, Release and Discharge from any and all liability for my death, disability, personal injury, property damage, property theft or actions of any kind which may hereafter accrue to me including my traveling to and from this event, THE FOLLOWING ENTI- SAG Stop with great cycling food TIES OR PERSONS: Three Rivers Velo Sport, Inc., P.O. Box 11391 Fort Wayne, IN 46857-1391, their directors, officers, employees, volun- teers, representatives, and agents, the event holders, event sponsors, event volunteers; (B) Indemnify and Hold Harmless the entities or Roving Support Vehicles The Tradition Continues persons mentioned in this paragraph from any and all liabilities or claims made as a result of participation in this event, whether cause by the negligence of releases or otherwise. Marked Routes 14 to 100 Miles Sunday, July 15, 2018, Starting at Hickory I hereby consent to receive medical treatment that may be deemed advisable in the event of injury, accident, and/or illness during this event. Center School, 3606 Baird Rd, Fort Wayne, I understand that approved bicycle helmets must be worn while riding in this event. I understand that at this event or related activities, I Mass start 8:00 AM may be photographed. I agree to allow my photo, video or film, likeness to be used for any legitimate purpose by the event holders, producers, Indiana sponsors, organizers and assigns. The Accident Waiver and Release of Liability shall be construed broadly to provide a release and waiver to Ice Cream Treats at Finish the maximum extent permissible under applicable law. I hereby certify that I have read this document; and, I understand its content. Three Rivers Velo Sport Inc. ______3RVS Festival Tour Print Participant’s Name Age Signature (If under 18 years old, Date Online P. O. Box 11391 parent or guardian must also sign below) Registration at Fort Wayne, Indiana PARENT OR GUARDIAN WAIVER FOR MINORS ( Under 18 years old ) 46857-1391 The undersigned parent and natural guardian does hereby represent that he/she is, in fact, acting in such capacity and www.bikereg.com/three-rivers- www.3rvs.com agrees to save and hold harmless and indemnify each and all of the parties referred to above from all liability, loss, cost, claim or damage whatsoever which may be imposed upon said parties because of any defect in or lack of such capacity to festival-tour email: [email protected] so act and release said parties on behalf of the minor and the parents or legal guardian. Live tour updates @ride3rvs ______Print Participant ’ s Name Age Signature of Parent or Guardian Date A Ride for Everyone! Mass Start at 8:00 AM
The 47th Annual Three Rivers Festival Tour begins and ends at Hickory If you like to ride with a large group, there will be a mass start at 8:00 AM. Center School on the northwest side of Fort Wayne. Ride through gently There will be five pace groups ranging from 12 to +20 MPH. Each group rolling to moderate hills on routes of 14, 25, 52, 63 or 100 miles through will be led by 3RVS Tour Ambassadors. Each pace group will offer a differ- Allen, Whitley and Noble counties. The rest stop is located at Churubusco ent distance option. Park, where you can select various loops to ride.
Approved cycling helmets must be worn by all riders. Additional Information Mail-in Pre-registration For more information or questions, please email the Three Rivers Festival Pre-registration is appreciated. To pre-register, complete the Registration Tour Chairman at: [email protected] or visit the Three Rivers Form and mail it to the address on the form, along with a check for the Velo Sport Website at: www.3rvs.com. proper amount, payable to 3RVS. Pre-registration ends July 11. Make sure The Three Rivers Festival, July 13 — 21, 2018, is a 9-day celebration of you sign & date the waiver form. Fort Wayne’s heritage and offers a multitude of cultural, ethnic, recreational and educational events. Our bicycle tour just happens to be one of the old- est and best events of the festival. We hope you enjoy it! Same-day Registration Plan to experience the Three Rivers Festival celebration. For more informa- tion about the Three Rivers Festival call 260-426-5556 or visit their website: Registration will be available from 7:00 AM to 10:00 AM the day of the tour www.ThreeRiversFestival.org. at Hickory Center School. Riders receive a route map, roving support, snacks and drinks at the SAG stop. Small children must be accompanied by adults at all times. In Memory of Bob Kersjes
Online Registration The Three Rivers Festival Tour is dedicated to the memory of its originator and first route designer, Bob Kersjes. Bob was one of the earliest mem- Online registration is available at BikeReg.com/three-rivers-festival-tour. bers of the Three Rivers Velo Sport club and probably rode in more club There is a small convenience fee for online registration. If you register events than anyone throughout a membership that lasted from 1970 until through BikeReg.com. Please bring your registration verification with his passing in 2001. Bob served 3RVS in countless ways, often acting as a you to present at the registration desk the day of the tour. living, pedaling encyclopedia of local touring routes. Riding with the club just months before his death, Bob exemplifies the spirit of camaraderie, Support & SAG Services sportsmanship and service that is the heart of Three Rivers Velo Sport. The SAG stop located at Churubusco will open at 7:30 AM, so do not start prior to 7:00 AM. Select a distance you can complete by 4:00 PM, when support services end. Support vehicles will travel the routes to assist riders. Support personnel will be accessible by cell phone. Hickory Center School
Start Location & Time From Lima Road (SR 3) and I-69, go north to Dupont Road, turn left (west), The Three Rivers Festival Tour starts at 7:00 AM, Sunday, July 15, 2018. go one mile to Bethel Road, turn right All routes begin and end at Hickory Center School, 3606 Baird Road, just (north), go .3 mile to Baird Road, turn south of Carroll High School, on Fort Wayne’s northwest side. If you wish to left (west). The school is on the right. join our mass start group at 8:00 AM. read the Mass Start details on the top of the next page for details.