BICYCLE POKER RIDE REGISTRATION FORM
Date: March 14, 2026 Time: 0915 am PST Start Location: 222 E. Bullard Ave, Fresno, Ca. 93710
Name
*
First Name
Last Name
Address:
*
Street Address
Street Address Line 2
City
State / Province
Postal / Zip Code
E-mail
example@example.com
Contact Number
Sex
*
Please Select
Male
Female
N/A
Age on Event Date
In Case of Emergency
Emergency Contact:
First Name
Last Name
Relationship
Contact Number
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 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
*
-
Month
-
Day
Year
Date
Signature
*
My Products
*
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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
1
2
3
4
5
6
7
8
9
10
Payment Methods
Credit Card
Apple Pay
After submitting the form, you will be redirected to Apple Pay to complete the payment.
Google Pay
After submitting the form, you will be redirected to Google Pay to complete the payment.
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