Bicycle Poker Ride

BICYCLE POKER RIDE REGISTRATION FORM

Date: March 14, 2026 Time: 0915 am PST Start Location: 222 E. Bullard Ave, Fresno, Ca. 93710
Name

First NameLast Name
Address:

Street Address

Street Address Line 2

CityState / Province

Postal / Zip Code
E-mail
example@example.com
Contact Number
Format: (000) 000-0000.
Sex
Age on Event Date
In Case of Emergency
Emergency Contact:

First NameLast Name
Relationship
Contact Number
Format: (000) 000-0000.
Release and Waiver of Liability - Assumption of Risk and Indemnity Agreement
In consideration of my participation in the Bicycle Poker Ride, I, the undersigned participant, hereby acknowledge and agree to the following:

I release, discharge, and hold harmless the organizers of the Bicycle Poker Ride, their officers, directors, employees, volunteers, sponsors, and any other persons or organizations associated with the Bicycle Poker Ride from any and all claims, damages, or injuries, including death, that may arise from my participation in the Bicycle Poker Ride Run or as a result of my use of any facilities or equipment provided by the Bicycle Poker Ride.
Date

MonthDayYear
Date
Signature
My Products
prevnext( X )
Registration Hand
This will be the hand you purchase to register for the race.

$30.00

Additional Hands
These are in addition to your registration hand.

$12.00 Quantity

Total

$0.00
Should be Empty:

BICYCLE POKER RIDE REGISTRATION FORM