2023 Off-Leash Overnighter: Cross that Line!

Personal Information

• * First Name:
• * Last Name:
• * Email Address:
• * Confirm Email Address:
• * Address 1:
• Address 2:
• * City:
• * State: --Choose-- Alabama Alaska Arizona Arkansas California Colorado Connecticut Delaware District of Columbia Florida Georgia Hawaii Idaho Illinois Indiana Iowa Kansas Kentucky Louisiana Maine Maryland Massachusetts Michigan Minnesota Mississippi Missouri Montana Nebraska Nevada New Hampshire New Jersey New Mexico New York North Carolina North Dakota Ohio Oklahoma Oregon Pennsylvania Rhode Island South Carolina South Dakota Tennessee Texas Utah Vermont Virginia Washington West Virginia Wisconsin Wyoming -------------- Alberta British Columbia Manitoba New Brunswick Newfoundland and Labrador Northwest Territories Nova Scotia Nunavut Ontario Prince Edward Island Quebec Saskatchewan Yukon Territory
• * ZIP Code:
• * Cell Phone:
• * Meal requirements: Allergies? Vegan? Let us know, we’ll try to accommodate. Dinner and breakfast are catered by the famous Grindhouse Cafè (Griffith, Ind.).
• Birth Date - MM/DD/YY. Must be 18 yrs or older on May 18 to be primary registrant; kids welcome, but must be accompanied by an adult.

• Promo Code

  Enter Code: Apply

• Fee

  Type	Fee
  Primary Registrant (18+ years old) $65.00 after Wednesday, May 31, 2023	$55.00

• * Emergency Contact Name
• * Emergency Contact Phone Number
• *

  Is the Emergency Contact also participating in this event?

  • Yes, because duh, bikepacking!
  • No, sadly they are not.

• PHOTO RELEASE - I hereby grant GoodSpeed Cycles permission to use my likeness in a photograph or other digital reproduction in any and all of its publications, including website entries, without payment or any other consideration; I understand and agree that these materials will become the property of GoodSpeed Cycles and will not be returned; I hereby irrevocably authorize GoodSpeed Cycles to edit, alter, copy, exhibit, publish or distribute this photo for purposes of promoting its business, programs, or for any other lawful purpose; in addition, I waive the right to inspect or approve the finished product, including written or electronic copy, wherein my likeness appears; additionally, I waive any right to royalties or other compensation arising or related to the use of the photograph.

• I hereby hold harmless and release and forever discharge GoodSpeed Cycles from all claims, demands, and causes of action which I, my heirs, representatives, executors, administrators, or any other persons acting on my behalf or on behalf of my estate have or may have by reason of this authorization.

• LIABILITY WAIVER - By selecting “Yes, I agree” below, I agree that my level of fitness is appropriate to participate in the event; I agree to obey the rules and directions of Trails for Illinois and GoodSpeed Cycles organizers and partnering agencies; I understand that participating involves risks and can result in loss of personal property, bodily injury or even death; I personally assume any and all of the risks associated with participation in this event; and I release, absolve, indemnify and hold harmless GoodSpeed Cycles and all of their employees, directors, partnering agencies and volunteers from any manner of liability, claims for damages or causes of action.

• *

  I have read the agreement above before checking the box below and fully understand the contents, meaning, and impact of this agreement.

  • Yes, I agree.

Other Camper Information

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