First Name: Last Name:
Birthdate:         Shirt Size:
Are you enrolled in the conference?  yes
If no, please contact for special rider pricing
Residential Address:
Street Address:
City: State: Zip:
Mailing Address (if different):
Street Address:
City: State: Zip:
Home: Cell: Work:
Email Address:
Emergency Contacts:
Name: Relation:
Phone: Home: Cell: Work:
Name: Relation:
Phone: Home: Cell: Work:
Additional Info:

I understand it is my responsibility to submit all necessary forms from the rider packet by the tour start date. Not doing so will disqualify me from participating in the event.

yes no

I understand it is my responsibility to arrange my own
transportation to the starting location and from the end destination.

yes no



Opportunity Green :: Tour de OG
Fall 2010
San Francisco to Los Angeles :: Mileage:  463.8


I wish to participate in this noncompetitive bicycle ride sponsored by Opportunity Green.

Risk Warning:  I understand that in participating in this ride I will be using public streets and facilities where many hazards exist, and I am aware of and appreciate the risks that may result. I also am aware that accidents may occur during bicycle riding and that I may be seriously injured or killed as a result. I am voluntarily participating in this ride with knowledge of the dangers involved, and I agree to accept any and all risks of injury or death.

In consideration for being permitted by Opportunity Green to participate in this ride, I agree to assume all risks and to release and hold harmless Opportunity Green as well as its directors, officers, agents, employees, sponsors, and members, who, through negligence or carelessness, might otherwise be liable to me.

Waiver and Release: I intend by this Waiver and Release to release, in advance, and to waive my rights and to discharge Opportunity Green and all the other persons mentioned above, from any and all claims for damages for death, personal injury or property damage which I may have, or which may hereafter accrue to me, as a result of my participation in this ride, even though that liability may arise from negligence or carelessness on the part of the persons or entity mentioned above.

I understand and agree that this Waiver and Release is binding on my heirs, assigns and legal representatives.

Assurances:  I am physically capable of completing this ride. If I am aware of or under treatment for any physical infirmity, ailment or illness, my medical care provider knows of and has approved my participation in this ride.

I agree to accept and abide by all instructions and rules of Tour de OG and Opportunity Green, including wearing a bike helmet.

I agree to accept and receive such medical or other treatment which may be deemed to be advisable by Opportunity Green, its medical and first aid assistants, or safety patrol personnel in the event of injury accident and/or illness during Tour de OG.

I agree to permit free use by Opportunity Green of my/our name and photograph in any broadcast, telecast or other media as may pertain to Tour de OG.

I agree to have sole responsibility of my/their/our personal possessions and equipment during Tour de OG.

Race Rules:

  1. All bikers must bike the prescribed course and ensure that their name is marked off the official events register at the conclusion of Tour de OG even if they do not complete the course.
  2. All bikers must wear their prescribed participant number.
  3. All bikers are to behave in a fair and sportsmanlike manner without interference or aggression towards other bikers and any breach of this rule may result in removal from Tour de OG.
  4. If in the opinion of an event medical officer or a safety official a participant is physically or otherwise incapable of starting or completing Tour de OG such participant may be prevented from starting or be removed from Tour de OG at any time.
  5. If in the opinion of Opportunity Green the weather or conditions are dangerous or unsuitable, Tour de OG may be cancelled without notice.


I have carefully read this Waiver and Release and fully understand its contents. I am aware that this is a release of liability and a contract between myself and Opportunity Green and sign it of my own free will. Parental signature is required if the rider is under 18 years of age.