HILLY HUNDRED WEEKEND October 21, 22

HILLY HUNDRED WEEKEND
October 21, 22, 23, 2016
Information regarding volunteering:
1.
Please read over the Volunteer Information page attached and then decide on
what position you want. If you are undecided about any position, select several
and you will be assigned where you will be needed. If you need more
information, please feel free to contact me. You must work six (6) hours and
some positions, such as Registration, require more hours.
2.
Select your meals, sleeping bag space and/or camping on the Hilly
Volunteer Application. Please select what you need so the tickets can be
put in your registration packet that you will receive when you arrive at the
Hilly.
3.
Do not specify volunteer T-shirt sizes. We will have sufficient shirts in all
sizes available. The volunteer T-shirt order (green this year) will be placed
this summer, long before the Hilly. It is impossible to order individual shirts
when many volunteers do not sign up until in September or 0ctober.
4.
Around the first of October you will receive your assignments, along with the
name(s) of your supervisors. You will also receive your Confirmation Booklet
with all information regarding the Hilly. The Hilly Hundred no longer uses
confirmation numbers which were unnecessary for volunteers anyway.
5.
Please send in your volunteer information as soon as possible. We need
approximately 450 volunteers who are assigned to about 50 different
positions. So to make my job easier, I would like to get them in a timely
manner.
6.
Send your signed Hilly Volunteer Application Form, with all required
information, and your Hilly Hundred Volunteer Information sheets to
me:
Skip
Higgins,Dusing,
Hilly Volunteer
Helper Coordinator
Catherine
Hilly Volunteer
441
Billie
Lane Street
5304
Crown
Indianapolis,
IN IN
46260
Indianapolis,
46208
317-432-0645
317-255-0559
skiphiggins2@gmail.com
cibamom(&,att.net
Page 1 of 3
HILLY HUNDRED VOLUNTEER INFORMATION
Name: ____________________________________________________
Please select the area in which you want to volunteer. If same as in past, please
indicate. Some areas are filled early so get your application in as early as possible.
Remember – you must work 6 (six) hours to get free registration, meals and
sleeping bag and/or camping. Specify meals and sleeping bag/camping on application.
All times at Hilly will be after 4:00 PM Friday unless notified differently. We now
have a few positions that start earlier.
Are you riding the Hilly? Check: Not Riding ___ Riding Saturday Only ____
Riding Sunday Only _______
Riding Both Days ________
Entertainment – Stage in Auditorium
Saturday Evening _________
Bicycle Security
Friday PM _____________
Saturday AM ___________
Saturday PM ____________
Sunday AM _____________
Merchandise - Clothing
Pre-Sold
Friday __________________
Saturday_________________
Sunday __________________
Merchandise – Clothing
Sales
Friday _______________
Saturday ______________
Sunday ________________
Vendor Tent Area
Friday and Saturday _____________
Welcome and Safety Briefing
Friday _______________
Saturday _____________
Information Booth
CIBA Members Preferred
Friday _______________
Saturday _____________
Sunday _______________
Sleeping Bag Area
Friday and Saturday _____________
Parking and Camping
You will be contacted with times.
Friday, Saturday, Sunday __________
Page 2 of 3
HILLY VOLUNTEER INFORMATION – Page 3 of 3
Snack Bar
Friday _______
Registration – Requires more than 6 Hours
Pre-registration Materials Pickup
Friday ______ Saturday ______ Sunday ______
(Previously known as Packet Distribution)
On-site Registration
Friday ________ Saturday ________ Sunday ________
Door Patrol
Friday ________ Saturday ________ Sunday ________
Rest Stop #1
Rest Stop #2 Lunch
Rest Stop #3
Saturday ________
Saturday ________
Saturday ________
Rest Stop #4
Rest Stop #5 Lunch
Rest Stop #6
Sunday ________
Sunday ________
Sunday ________
SAG Driver – Your own properly insured vehicle required
Saturday ______ Sunday ______
HAM Communications
Saturday _______ Sunday ________
Medical Personnel
Saturday _______ Sunday _______
Recycling – Various times
All Weekend ________
Signs – Various times
All Weekend ________
Other (if you wish to serve in other areas not listed above, please indicate): ______________
___________________________________________________________________________
You will be contacted if there is a problem with your request immediately upon receipt.
Your assignment will be sent around the first of October.
If you have questions, please contact me. Thank you for volunteering.
Catherine Dusing
Skip Higgins,
Volunteer
Helper
Hilly Hilly
Hundred
Coordinator
441 Billie5304
Lane
Crown St.
Indianapolis,
IN 46260IN 46208
Indianapolis,
317-432-0645
317-255-0559
skiphiggins2@gmail.com
cibamom@att.net
The 49th Annual Hilly Hundred
Weekend Bicycle Tour
October 21-23, 2016
Ellettsville, Indiana
Winner of Bicycling Magazine and the League of American Bicyclists
Best Biking in America Awards.
•
•
The Central Indiana Bicycling Association (CIBA) is proud to
sponsor the 49th Annual Hilly Hundred Weekend, a classic
bicycling event designed for experienced touring cyclists. If
you like a bicycling challenge that includes entertainment, the
Hilly is for you.
Camping or sleeping space is available on site.
•
•
Sleeping bag space is available inside the school.
Space is available for tent campers and RVs. No hookups
or conveniences are available for the RV campers.
The challenging terrain is a wonderful mix of
rolling country roads and breathtaking hills (literally).
•
The new Saturday route takes us closer to Spencer, IN with
a return to Stinesville.
•
Sunday's riders head out toward Morgan-Monroe State
Forest, then climb everyone's favorite bragging hill, Mt. Tabor.
Campfires, alcoholic beverages, drugs, and smoking
are not permitted anywhere on the school campus.
•
Great food and lively entertainment are included at each
of three rest stops on both Saturday and Sunday.
Weekend-long shower privileges are available to all
participants at no additional charge.
•
The ride is only part of the weekend fun.
•
Friday night features live entertainment and free refreshments
for those arriving early to pick up their rider packets.
•
Take part in the Saturday morning costume contest. Use your
imagination. Dress up in a period costume, a clown costume or
any costume of your choosing. Individual and group
competition judging takes place at the first rest stop.
•
The fun continues with the Saturday Night Variety Show
featuring Reed Steele. Much of the show highlights the people
and events of the Hilly Hundred Weekend. Costume contest and
other awards are presented at the 7:30 pm Variety Show.
•
Many of the top bicycle shops in the area offer fabulous sales
in the Hilly Hundred Vendor Tent.
•
Whether photography is one of your passions or you're a
shutterbug enjoying the Hilly Hundred, bring your camera, take
your best shots and follow the rules on the Hilly Hundred
website to enter this year's Hilly Hundred Photo Contest. Entries
are due by November 30, 2016. Winning photos will be
published in the March 2017 issue of CIBANEWS, the Hilly
Hundred Photo Contest winners' web page and at other
appropriate locations. Top prize is worth a cool $100.
Important information about the Hilly Hundred Weekend:
•
Headquarters for the weekend is Edgewood High School,
601 S. Edgewood Drive, Ellettsville, Indiana.
•
The traditional staggered start (8-10 am) and finish
are located on the school campus.
•
•
•
•
•
•
•
•
Edgewood High School booster groups will prepare meals on
Saturday morning, Saturday evening and Sunday morning.
This three day event is held in the scenic hills of southern Indiana.
•
•
•
All riders must be able to finish the route before 4:00 pm.
The Hilly is not a race. Come for a challenging tour but
leave the racing gear and mentality at home.
You must wear a bicycle helmet to participate in the ride.
Hilly Hundred Merchandise: There's something for everyone.
To ensure you get the merchandise you want, please order
when registering. Limited quantities and sizes of merchandise
will be available for purchase at the Hilly.
•
•
Choose from T-shirts, cycling jerseys, cycling socks,
water bottles and great souvenirs. Check out the selections
and size charts displayed on our website.
Once again there is a unique limited edition print created
by Jeanne McLeish exclusively for the 2016 Hilly Hundred.
If you bring your own generator it must be turned off
from 10:30 pm until 6:30 am.
Bring your own toiletries and towel.
• FREE secure overnight bike parking at the Junior High School
•
Riders under 18 years of age
•
•
Hotel Information
•
•
Riders under the age of 18 need the written approval of a
parent or legal guardian, as provided on the application, before
they can ride. Riders under the age of 16 may participate in the
Hilly only if accompanied by a bicycling parent or other
responsible adult.
Contact the Monroe County Convention and Visitor's
Bureau at 1-800-800-0037 or www. visitbloomington.com.
Volunteer Information
•
If you are willing to work a minimum of six hours (some
areas require more), your registration fee, camping or
sleeping space, meals and a Hilly Helper long sleeve T-shirt
are free. Each volunteer must complete the volunteer
registration form. For additional information, check the
volunteer tab at www. hillyhundred.org or contact Catherine
Dusing at: (317) 255 0559 or cibamom@att.net
•
If you plan to volunteer, please do so early. Volunteer slots
that allow you to ride on one or both days of the Hilly are limited.
Help us be more effective in providing an outstanding Hilly!
•
The 49th Hilly Hundred Weekend is sponsored by the Central
Indiana Bicycling Association Inc. (CIBA) of Indianapolis,
Indiana. CIBA is one of the largest and most active bicycle clubs
in the United States. Additional information about CIBA is
available on CIBA's website at www.cibaride.org .
•
Proceeds from the Hilly Hundred Weekend support CIBA activities, the CIBA Foundation, Bicycle Indiana and Edgewood High
School Dollars for Scholars. Hilly Hundred Weekend proceeds
also support the local communities. Leftover food from the rest
stops is donated to the local food bank.
VOLUNTEERS MUST
SENDSEND
APPLICATION TO
VOLUNTEERS
MUST
APPLICATION
TO:
Catherine Dusing
Hilly Volunteers
Skip Higgins, Hilly Volunteers
5304 Crown St.
441 Billie Lane
Indianapolis,
IN 46260IN 46208
Indianapolis,
49th Hilly Hundred Weekend
October 21-23, 2016
Office Use Only
Registration Form for 2016
One person per registration form. No exceptions, please.
This form may be copied for your convenience.
 Please print legibly all fields other than signatures.

Starred Fields required.
First Name: (Given)
Volunteer
Registration
Last Name:
Nickname for Fanny Flag:
Street Address:
Apt. #:
City:
State (or Province):
Day Phone #: (with area code)
Cell Phone #: (with area code)
Country: (if not US)
Birthdate: (mm/dd/yyyy)
Zip: (zip + 4)
Gender:
M
F
E-mail:
Emergency Contact:
Emergency Contact Phone: (with area code)
First & Last Name:
CONSENT AND LIABILITY RELEASE
READ CAREFULLY: APPLICATION NOT COMPLETE WITHOUT SIGNATURE(S) BELOW
In consideration of Central Indiana Bicycling Association, Inc. (“CIBA”) permitting me or my minor child to participate in CIBA events or activities, I, the undersigned, for
myself and my heirs, next of kin, assigns, and personal representatives, do hereby agree to the following:
1. I understand that bicycling requires physical conditioning, and I represent that I am in sound medical condition, capable of participating in CIBA events, rides, and
activities without risk to myself or others. I have no known medical impediment which would endanger myself or others. I agree that I will be solely responsible for the
condition and adequacy of my bicycle, safety gear, and riding equipment. I will ride safely within the limits of my own abilities, my equipment, and the riding conditions, and in a manner so as not to endanger either myself or others.
2. I understand that my name, address, phone number, e-mail address, photograph, voice, and/or likeness may be used in promotional or advertising materials. I consent
to such uses and waive any rights of privacy or publicity I may have in connection with those uses.
3. I understand that bicycle riding is a potentially hazardous activity which involves risks, inherent and otherwise, known or unknown, that cannot be eliminated which
may cause injury, illness, paralysis, or death to myself, other persons, and/or damage to property. I further understand that negligence of CIBA, including its officers,
members, volunteers, and sponsors, or other risks associated with CIBA events or activities may cause injury, illness, paralysis, or death to myself, other persons, and/or
damage to property. Some of the risks associated with CIBA events, rides, and activities include, but are not limited to, equipment failure, collisions with other riders,
terrain, objects, or vehicles, and known or unknown medical conditions. I assume full and sole responsibility for all risks, both known and unknown, inherent or otherwise, related to the CIBA events, rides, and activities. Further, I am voluntarily participating in this activity with knowledge of the risks and fully accept and assume all
risks related to or arising from CIBA events, rides, and activities.
4. Acknowledging that such risk exists, I PERSONALLY AND ON BEHALF OF MY MINOR CHILD, HEREBY RELEASE, WAIVE, DISCHARGE, AND COVENANT NOT TO SUE CIBA,
ITS OFFICERS, OFFICIALS, MEMBERS, VOLUNTEERS, AND SPONSORS, and the officers, directors, employees, representatives, agents, insurers, and successors of all the
above (hereinafter individually and collectively referred to as the “Releasees”) from any and all claims, damages, losses, actions, suits, proceedings, breach of contract
actions, wrongful death actions, expenses, attorney fees, and liability that I, anyone on my behalf, my heirs, next of kin, or minor child might have for, or relating to,
any injury, including death, to my person or that of my minor child or property suffered or claimed to have been suffered by me which arises out of or is related in
any manner, either directly or indirectly, to my or my minor child’s participation in any CIBA event, ride, or activity or my assistance at any CIBA event, ride, or activity,
including but not limited to, any claim that the act or omission complained of was caused in whole or in part by the negligence in any form of the Releasees.
5. I further agree to INDEMNIFY, HOLD HARMLESS, AND DEFEND in any action or proceeding Releasees against all lawsuits, losses, damages, actions, suits, proceedings,
and expenses, including attorney’s fees and costs arising from or relating in any respect to my or my minor child’s participation in any CIBA event, ride, or activity, or
my breach of this agreement, regardless of whether the act or omission complained of was caused in whole or in part by the negligence in any form of the Releasees.
CIBA Volunteers have no duty to indemnify, defend, or hold harmless the Releasees.
6. This document is governed by the laws of the State of Indiana. If one or more portions of this document are found unenforceable, the remainder of the document will
remain enforceable. If I am a minor, my parent or guardian is also signing individually and on my behalf and we both agree to be bound by the terms of this agreement.
I have read and fully understand this Waiver and Release of Liability and Indemnity Agreement and agree to be bound by its terms. I understand that by signing this document I may be waiving certain legal rights, including the right to sue CIBA or any of the Releasees. I have read this document and sign this document freely and willingly.
Participant’s Signature:
Date: (mm/dd/yyyy)
Print Participant’s Name:
Parent/Legal Guardian
Signature if Under 18:
(Turn this form over and complete the next page )
Age at time of Hilly:
2016 Hilly Hundred Weekend Registration Form (Continued)
Entry Fee: Your registration must be postmarked by September 23, 2016
Extras
FREE
Quantity
X
Price
Saturday Breakfast at School
FREE
Saturday Dinner at School
FREE
Sunday Breakfast at School
FREE
= Total
The following covers the entire weekend.
Sleeping bag space (per person)
FREE
Tent camping in designated areas (per tent)
FREE
RV camping (per vehicle - no services)
FREE
Hilly Hundred Clothing
Indicate how many of each size you wish to order. Shaded boxes indicate item is unavailable in that size.
Add all sizes across
for total quantity of
each item.
Visit www.hillyhundred.org for size charts and pictures of Hilly clothing and souvenirs.
S
Sizes: Clothing sizes are Unisex.
M
L
XL
2XL
3XL
Quantity
X Price
= Total
Short Sleeve Cotton T-shirt - Antique Cherry
0
$ 20.00
$ 0.00
Short Sleeve Cotton T-shirt - Royal Blue
0
$ 20.00
$ 0.00
Short Sleeve Cotton T-shirt - Lime Green
0
$ 20.00
$ 0.00
Short Sleeve Holloway Perf T-shirt - Purple
0
$ 22.00
$ 0.00
Short Sleeve Holloway Perf T-shirt - Orange
0
$ 22.00
$ 0.00
Long Sleeve Sport Tech Pullover - Red/White
0
$ 35.00
$ 0.00
Long Sleeve Sport Tech Pullover - Blue/White
0
$ 35.00
$ 0.00
Hoodie Sweatshirt - Cardinal Red
0
$ 30.00
$ 0.00
Hoodie Sweatshirt - Safety Yellow
0
$ 30.00
$ 0.00
Fleece Jacket - Forest Green
0
$ 42.00
$ 0.00
Short Sleeve Cycling Jersey
0
$ 65.00
$ 0.00
Bike Socks
0
$ 10.00
$ 0.00
$ 16.00
$ 0.00
$ 8.00
$ 0.00
$ 15.00
$ 0.00
Baseball Cap
One size fits all
Hilly Hundred Souvenirs
Water Bottle
Commemorative Package: Hilly Poster, Pin & Patch (Sold separately at the event: $6)
Merchandise price includes sales tax.
Check this box to recalculate and finalize clothing total.
GRAND TOTAL
$ 0.00
To ensure your size is available, order jerseys or jacket by August 1 and other clothing by September 2.
Merchandise can be purchased after these dates and on site, but selection and size may be limited.
NO REFUNDS AFTER SEPTEMBER 2, 2016
Requests for refunds are subject to a $10 cancellation fee.
Before mailing, please check all of these items:
o Check all math.
o Enclose your check.
o Sign your release on page 1 of the registration form.
o Parent or guardian signature for riders under 18.
STOP!
Make your check payable to HILLY HUNDRED
One person per registration form.
Multiple registration forms may be submitted with
one check and mailed in one envelope.
MAIL TO: Catherine
Dusing
Skip Higgins
HILLY
Hilly VOLUNTEERS
Volunteers
5304
CROWN
ST
441 Billie Lane
INDIANAPOLIS,
Indianapolis,ININ46208
46260
- Did you fill out page 1? Make sure you have completed both pages before you mail your registration!
Page 2