pdf registration

Transcription

pdf registration
Name: ___________________________________
Date of Birth: ______________________________
Address: __________________________________
City: ______________________________________
State: __________
Zip: ____________________
Phone: ___________________________________
Emergency contact: _______________________
Emergency phone: ________________________
Century Ride fee ($75)
$ ___________
Metric Century Ride fee ($65)
$ ___________
40 Mile Ride fee ($55)
$ ___________
DO NOT MAIL THIS FORM IF REGISTERING
AFTER SEPTEMBER 11, 2015.
Register at active.com through September 16, 2015.
Day of event late fee ($5)
$ ___________
Additional tax deductible
Donation*
$ ___________
TOTAL
$ ___________
GearUp Team jersey
available through Voler.com
$75
WayUp Sacramento
Confirmation is by email. Your canceled check is your
receipt if registering by mail. NO REFUNDS.
One registration form per person.
c/o Nehemiah Community Reinvestment Fund, Inc.
640 Bercut Dr., Suite A
Sacramento, CA 95811
All riders must complete an entry form and sign the
Release and Waiver of Liability at the event. Riders
under the age of 18 must ride with a parent or guardian.
ADDRESS SERVICE REQUESTED
REGISTRATION
West Sacramento City Hall to
Sacramento City Hall bike ride to benefit:
WayUp Sacramento
& FutureReady:
The Mayor’s Trust for Youth
Saturday, September 19, 2015
Century Ride start time – 7 a.m.
Metric Century Ride start time – 8 a.m.
40 Mile Ride start time – 9 a.m.
Starting Point: West Sacramento City Hall
1110 West Capitol Avenue
West Sacramento, CA 95691
Short Family Ride start time – 10 a.m.
Please mail this completed form
with your check payable to:
WayUp Sacramento/NCRF
640 Bercut Dr., Suite A
Sacramento, CA 95811
*WayUp Sacramento is fiscally sponsored by Nehemiah Community
Reinvestment Fund, Inc., a tax-exempt organization which qualifies
under the Internal Revenue Service (IRS) Code Section 501(c)(3).
Starting Point: Cesar Chavez Park
910 I Street Sacramento, CA 95814
Ride end time – 4 p.m.
Finish Line: Cesar Chavez Park
910 I Street Sacramento, CA 95814
Contact: Keilani Paneda
916.808.7005 | gearupcycleforyouth@gmail.com
GearUpForYouth.org
Route Information
Thanks
For Riding
WayUp Sacramento and
FutureReady: The Mayor’s Trust
for Youth support at-risk youth
programs in Sacramento and
West Sacramento.
The Starting Line:
West Sacramento City Hall
1110 West Capitol Avenue
West Sacramento, CA 95691
From westbound Interstate 80:
Exit Interstate 80 westbound to
Jefferson Blvd. Turn right onto
Jefferson Blvd. and continue to
West Capitol Ave. Turn right
onto West Capitol Ave. to West
Sacramento City Hall – 1110 West
Capitol Ave. Park in City Hall parking
lot or Big Lots/Safeway parking lot at
corner of Jefferson and West Capitol.
Please Read
All riders must wear an ANSI or US CPSC
approved helmet. NO HELMET, NO RIDE.
OBEY ALL TRAFFIC LAWS AND RIDE SINGLE
FILE. Part of the route is narrow without a shoulder.
WEARING EAR BUDS, EARPHONES,
HEADPHONES, OR ANY SIMILAR DEVICE
IS PROHIBITED.
Each rider should carry a minimum of a
spare tube, patch kit, bike pump or cartridge,
identification, and water bottle.
Ride check-in opens at 6 a.m. at West
Sacramento City Hall. The Century Ride starts
at 7 a.m. The Metric Century Ride starts at
8 a.m. and the 40 Mile Ride starts at 9 a.m.
All riders must be on the course by 10 a.m.
Course closes at 3 p.m. Riders still on the course
will be asked to SAG to the finish. Riders who
refuse will be on their own to complete the ride.
Lunch/food service ends at 4:00 p.m.
The routes include a Century, a Metric Century
and a 40 mile ride from West Sacramento
through the Delta and finishing in Downtown
Sacramento. The ride begins at West
Sacramento’s City Hall, loops around the
Sacramento River through Clarksburg and
finishes at Cesar Chavez Park across from City
Hall in Downtown Sacramento. There will be rest
stops along the way and end at Cesar Chavez
Park with lunch, music, and more. There will also
be a short family ride. For more information,
check the website.
START:
West Sacramento City Hall
1110 West Capitol Avenue
West Sacramento, CA 95691
END:
Cesar Chavez Park
910 I Street
Sacramento, CA 94814
(across from Sacramento City Hall)
West Sacramento
N
40 Mile Ride
Metric Ride
From eastbound Interstate 80:
Exit Interstate 80 eastbound to
Jefferson Blvd. Turn left onto
Jefferson Blvd. and continue to
West Capitol Ave. Turn right onto
West Capitol Ave. to the West
Sacramento City Hall – 1110 West
Capitol Ave. Park in City Hall parking
lot and Big Lots/Safeway parking lot
at corner of Jefferson and
West Capitol.
NO REFUNDS. WE RIDE RAIN, FOG,
WIND, OR SHINE.
For more information and route details visit:
GearUpForYouth.org
Century Full
Ride
COMMUNITY
BIKE
RIDE