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
I am fully aware of the risks involved in participating in a Bicycle Poker Ride and voluntarily assume all such risks.I am physically fit and have no medical conditions that would prevent my participation in the Bicycle Poker Ride.I agree to comply with all rules and regulations of the Bicycle Poker Ride.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*

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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

In Case of Emergency

Release and Waiver of Liability - Assumption of Risk and Indemnity Agreement