EBC Club Ride Miles
Enter email address for conformation email
What is your First and Last name?
What is the date of the ride you are doing?
What route are you doing?
If you are doing a special event or hosted ride, select “Special event/hosted ride” and include the name of the ride in the “Additional information or comments” below
4 H - 15, 24, and 28 miles
Castle High School - 23 and 35 miles
Century Folsomville - up to 100 miles
Century Mt. Vernon - up to 100 miles
Century Poseyville - up to 100 miles
Century Santa Claus - up to 100 miles
Century Tennyson - up to 100 miles
Century Miscellaneous - up to 100 miles
Century Non-club mileage
Dogtown - 12, 23 and 45 miles
Elite - 17, 23, 35, and 43 miles
Elite TP - 23 and 37 miles
Garvin Park - up to 20 miles
Henderson High School - 24, 32, and 47 miles
Hornville Tavern - 21 and 29 miles
Korner Inn Elberfeld - 21 and 30 miles
Lamasco - 24 and 31 miles
Mesker Park - 23 and 38 miles
New Albany Ride - 122 miles
Old Newburgh Dam - 27 and 40 miles
Olmstead - 17, 22, 24, and 33 miles
Reitz High School - 21 and 40 miles
Scott School - 15, 26, and 33 miles
Wesselmen's Park - up to 20 miles
West Terrace School - 19 and 33 miles
Special event/hosted ride (enter name of event under "Additional Information")
What was the posted start time of the ride?
How many miles on the above route did you complete?
Additional Information or comments-
Liability Release - Selecting "Submit" constitutes acceptance of this liability release
This is a legally binding agreement. By signing this agreement, you give up your right to bring a court action to recover compensation for any injury to yourself, your child or your property resulting from your or your child’s participation in this ride regardless of the cause of your or your child’s injury including the negligence of the Evansville Bicycle Club (EBC Inc.), its officers, directors, volunteers, agents and sponsors.
Riding a bicycle on public roads with other traffic is an inherently dangerous activity, which could result in property damage, serious injury, permanent disability or death. The risks associated with cycling include, but are not limited to: dangerous roadways, intersections and traffic; collisions with motor vehicles, animals, other riders or stationary objects; falls due to poor road conditions, mechanical problems or rider error; exhaustion; and dangerous weather conditions. I acknowledge and agree that this list does not state all possible risks associated with cycling and that the list in no way limits this release and indemnification agreement.
I hereby acknowledge the risk inherent in cycling and acknowledge that I am solely responsible for myself and my child while participating in this ride. I acknowledge that the EBC Inc. is not responsible for unaccompanied minors. In consideration of my or my child’s participation in this event, I/We the undersigned on behalf of myself, my child, my/my child’s heirs, representatives, executors and assigns Do Hereby Release the EBC Inc., its officers, directors, volunteers, agents and sponsors from any cause of action, claim or demands of any nature whatsoever, including a claim of negligence by the EBC Inc., its officers, directors, employees, volunteers, agents and sponsors arising from or related to my/my child’s participation this ride. I/We further agree to indemnify, defend and hold harmless the EBC Inc., its officers, directors, volunteers, agents and sponsors from all causes of action, claims or demands of any nature whatsoever arising from, or related to my/my child’s participation in this ride including but not limited to EBC Inc.’s reasonable attorneys fees and costs, compensatory and/or punitive damages.
I/We hereby certify that we have read and understood the foregoing release and that I/We have signed it as our voluntary act with the aim of releasing the EBC Inc., its officers, directors, volunteers agents and sponsors from all liability of any kind, including their own negligence.
Send me a copy of my responses.
Never submit passwords through Google Forms.
This content is neither created nor endorsed by Google.
Terms of Service