Lethbridge Headwinds Cycling Club's
COULEE CRUISER '2000

Sanctioned Rider Advance Entry Form * Register On-Line by SUBMITTING this Form *

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PLEASE MAKE SURE YOU READ AND SIGN WAIVER BELOW

"In consideration of your acceptance of this entry, I hereby for myself, my heirs, executors and administrators release and forever discharge the Canadian Cycling Association, its agents, servants and officials, representatives, successors and assignees and any other bodies, corporations, firms, associations or persons connected with these competitions of any injury sustained by me or my equipment during the said competition. I have read the CCA rules and regulations, understand them and agree to abide by them."

As a participant in this event I have read and understood the above

Participant's Signature__________________________ Date___________

 As a parent or guardian of an entrant under the legal age of 18, I have read and understood the above and accept its terms and conditions on the entrant's behalf

Parent's Signature_____________________________ Date___________