The DAN ULWELLING

25-Mile BIKE RACE AUSTIN, MINNESOTA

Proud Sponsors of the Dan Ulwelling 25-Mile Bike Race

DATE: Saturday, June 30, 2018 REGISTRATION SITE: Jay C. Hormel Nature Center COURSE: 25-Mile Bike Race (on blacktop county roads) REGISTRATION TIME: 11:00 A.M. STARTING TIME: 12:00 Noon (all racers begin at the same time) REGISTRATION FEE: $12 entry fee due by Monday, June 11th; $15 day of the race *Helmet required to be worn by all racers *Fee includes: Special edition “Dan Ulwelling” T-shirt

Trophies to the first overall Male and Female winners. Plaques for the first place winners and medals for second and third place will be awarded to the following age winners: MALE FEMALE 18 & under 18 & under 19-29 19-29 30-39 30-39 40-49 40-49 50-59 50-59 60 & over 60 & over

To REGISTER, complete the form below. QUESTIONS: Call Terry Fox (SMBC) at (507) 433-7184 or the Chamber at (507) 437-4561

Name ______________________________________

Age ___ Sex ___ T-shirt

M

L

XL

(Circle)

Mailing Address ___________________________________________________________________________ City _______________________________________

State ___Zip ________ Phone __________________

E-Mail Address ______________________________________________________ Send to: 25-Mile Bike Race, Chamber Office, 329 North Main Street, Ste. 102, Austin, MN 55912 Make checks payable to: Austin Area Chamber Circle Category: Male: 18 & under, 19-29, 30-39, 40-49, 50-59, 60 & over Female: 18 & under, 19-29, 30-39, 40-49, 50-59, 60 & over In consideration of the acceptance of my entry, I, the undersigned, intending to be legally bound for myself, my Heirs, Executors, and Administrators, do hereby release any and all sponsors of this race, and their representatives, successors, and assigns, from any and all liability arising from illness or injuries I may suffer as a result of my participation in this race. I attest and verify that I am physically fit and have sufficiently trained for the competition of this race. I also understand and agree that any sponsor may subsequently use for publicity and/or promotional purposes my name and/or photographs, videotapes, motion pictures and recordings of my participation in this event without obligation or liability to me. I also understand that entry fees I pay are not refundable. I have read the foregoing and certify my agreement with signature below.

Signature ____________________________

Co-Signature ______________________________ *Parent or Guardian, required if applicant is under 18