LWZ Form 2025

First NameLast Name
Luckwattzero Challenge 2025

Sept. 27
Please Choose One

100 miles50+ miles (Rec Ride)
Email
example@example.com
Phone Number
Club/Group Name
Emergency Contact Name

First NameLast Name
Emergency Contact's Phone Number
Please enter a valid phone number.
I agree to obey and follow the Safety Rules below:

Safety is a top priority. All riding practices shall be in accordance with the state and local traffic laws. Riding practices required by Team Luckwattzero include but are not limited to the following:

Obey all traffic laws, signs, and signals. Members shall come to a complete stop at all stop signs and red traffic lights.

I agree to the Release and Waiver of Liability, Assumption of Risk, and Indemnity below:

Release and Waiver of Liability, Assumption of Risk, and Indemnity

IN CONSIDERATION of being permitted to participate in any way in Team Luckwattzero activities, including but not limited to bicycle rides, skills clinics and social events (collectively "Activities"), I, for myself, my personal representatives, assigns, heirs, and next of kin:
I agree to obey and follow the Safety Rules AboveI agree to the Release and Waiver of Liability, Assumption of Risk, and Indemnity Above
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Luckwattzero Challenge 2025