Wakita Cherokee Strip Land Run Bike Ride
Text Box: Wakita Cherokee Strip Land Run Bike Rider

When:  Saturday, September 19th, 45 and 63 miles starting at 7:30 a.m.
	3, 11, and 23 mile start 8:30 a.m.

Where:  Main Street, Wakita

Why:  Help support Wakita Lion’s Club Old Settler’s Celebration

How:   Road ride for bikes, terrain mostly flat

Costs:  $20 Single and $30.00 tandem (includes meal at Methodist Church or Sr. Class Booth)
	  Family fun ride (3 mile) - $5.00 for single and $10.00 for family (no lunch included)

Distances:  3 mile fun ride, 11 miles, 23 miles, 45 miles and 63 miles

Contact:  Gary Feist (work) 620-842-3129, (cell) 620-845-0500, (home) 580-594-2557
		Email-skcg.a2@pcca.com

Wakita Cherokee Strip Land Run Bike Ride

Make checks payable to Wakita Lion’s Club
Mail to:  Gary Feist
RR 1 Box 93
Manchester, Ok  73758
One entry form per rider including tandem-teams.  Please print legibly.
First Name _______________________________________________
Last Name _______________________________________________
Address _________________________________________________
City __________________________State_____________Zip_____________
Phone ___________________________ email _________________________
Age on 09-13-09 __________________          Male             Female
      $20.00 per adult rider ($30 for tandem teams
      $5.00 for single and $10.00 for family for Family Fun Ride
No rider allowed without signed entry/waiver form.
Select event        63 mile        45 mile         23 mile          11 mile         3-mile Family Fun Ride
T-Shirt size         Small        Medium         Large         X-large
To receive a T-shirt, entry must be received by September 9th   

Release:  I, the undersigned, hereby agree to make the following contractual representations and agreements.  I fully realize the dangers of participation in the sport of bicycling, bicycle rides, and bicycle related functions, and fully assume the risks associated with the participation in the event known as the Cherokee Strip Land Run Bike Ride including, but no limited to the following:
The danger of collisions with pedestrians, other vehicles including cars and trucks, and other riders, the danger associated with equipment failure, inadequate safety equipment, the danger associated with weather conditions, and the possibility of serious physical and/or mental injuries associated with the participation in said bicycle activities.  I thereby waive, release and discharge for myself, my heirs, executors, and successors in interest (hereafter, collectively successors) any and all rights and claims which I have, or which may hereafter accrue to me, against the Wakita Lion’s Club or any officer, member or sponsor thereof. I agree for myself and successors that the above representations are contractually binding and are not mere recitals, and that should I or my successors assert any claim in connection with this agreement., I or my successors shall be liable fo rthe expenses including attorney fees incurring by the Wakita Lion’s Club or any officer, member, or sponsor thereof.  This agreement may not be modified orally, and a waiver of any provision shall not be construed as a modification of any other provision herein or an consent to any other provision herein or as consent to any subsequent waiver modifications.

______________________________________________  __________________
Signature of Applicant                                                           Date

______________________________________________   __________________
Signature of Parent/Guardian or Minor			Date

Click here for registration form in pdf form:

 

Registration