CHAD BEIERLE TRAIL RIDE FUNDRAISER
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Adult (over 18)
Child (under 18) *requires parent or guardian name & permission signature
Emergency contact Name & phone number
(to be used for emergency only)
Prefferred biking distance
Donation Pledge Amount GOAL
Personal & sponsors combined
I agree to ride in a safe and prudent manner. I will be alert for trail hazards including others using the trail, vehicle traffic crossing the trail, potholes, curves, soft shoulders, walkers & runners, etc. (Parental Approval Signature for child listed above.)
Please initial and date
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