Registration & Consent Form

Sunday, August 2, 2009

Bike 2 build with Habitat for Humanity

Photo courtesy of Brian Heersink 2008

Up to 49 riders (CO State Patrol permit regulations) Entry: Donations

Fill out this form and sign the waiver below. Send in by July 25 or call (719) 589-8678
and let us know you are registering so we can plan rest stop and transport needs. $100 per rider
_________________________________________________________________ Submit before starting
First Name Last Name
the ride

_________________________________________________________________
Address City State Zip
Mail Registration Form to:
_________________________________________________________________ SLV Habitat for Humanity
Date of Birth Age Gender
P.O. Box 1197
_________________________________________________________________ Alamosa, CO 81101
Phone Email

The Habitat Office is located in the

_________________________________________________________________ Alamosa Chamber of Commerce,
Emergency Contact Phone Cole Park. Tel: (719) 589-8678
_________________________________________________________________
Address City State Zip

Waiver and Release (please read and sign below)

ASSUMPTION OF ALL RISKS BY THE ENTRANT: With the full knowledge and appreciation that bicycle
riding is a hazardous activity and consequence of accepting this entry, I, intending to be legally bound for
myself, my heirs, executors, and administrators, waive and release any and all rights of claim for damages as
I may have against Bike 2 Build organizers, SLV Habitat for Humanity, their agents, and towns, counties and
state in which the event travels, their representatives, successors, and assigns, and for any and all injuries
and/or property damage suffered by me in said event, and for the same consideration, the undersigned
parent or guardian herby indemnifies and agrees to hold Bike 2 Build organizers, and their agents, harmless
from any and all liabilities which may occur by the entry of the applicant in Bike 2 Build. I allow the use of my
image in photos and video to help share the Habitat for Humanity message. I will wear an ANSI approved
helmet during the ride.
A group start is scheduled for 8 am at the Habitat for Humanity Office, Alamosa Chamber of Commerce,
Alamosa, CO. It is the responsibility of each individual rider to leave early enough to ensure arrival in La
Veta by noon (when the course will be swept). Each rider will be expected to change their own flats, and fix
their own mechanical problems. The shuttle bus will depart for Alamosa at approximately 2 pm.

____________________________________________________________________________________
Signature of Entrant Date Parent or Guardian Signature if under 18
(All participants must sign. Parent or Guardian must sign for persons under 18 years of age.)
 Donations Form 9500 ft elevation

August 2, 2009
La Veta Pass

PO Box 1197
Alamosa, CO 81101 Ft Garland
8000 ft elevation
Blanca
Alamosa 7700 ft elevation
7525 ft elevation

Topography Map: Alamosa to La Veta La Veta 7000 ft elevation

Yes! I am making a donation to affordable housing.

Name Address Phone Donation Cash or
Amount Check #

Rider Name: __________________ Total enclosed: $______

 Ride Information
Sunday, August 2, 2009
Let’s make Bike 2 Build a safe and enjoyable experience for everyone.
This event is to have fun and to raise funds and awareness for the
PO Box 1197 work of Habitat for Humanity.
Alamosa, CO 81101

Safety
• It is recommended that each rider carry a large water bottle, spare tube and patch kit, pump, tire
changing tools, sun screen, and a windbreaker if the weather happens to be chilly.
•This is an open course and riders are responsible to observe and obey all traffic laws. Please be
courteous to local traffic and drivers.
• Single file riding recommended to the far right of the road. Please don’t ride more than 2 abreast.
• ANSI approved helmets are MANDATORY!

Ride The Train Alamosa-La Veta-Alamosa

Round Trip Dome Car $58 Coach: Adult $48 Senior $43 Child $33
One Way Dome Car $49 Coach: Adult $39 Senior $35 Child $25
(877) 726-RAIL www.riograndescenicrailroad.com info@riograndescenicrailroad.com

Schedule
7:30 am Start at the Habitat for Humanity Office, Alamosa Chamber of Commerce in Cole
Park. Riders may drop off 1 bag with clothes, etc at the Habitat Office in the morning
before the ride starts. A bus will shuttle riders from La Veta back to Cole Park and a trailer
will bring the bikes. These will leave La Veta at 2pm, allowing enough time for riders to
change clothes and eat lunch. The Train departs for Alamosa about 2pm. Bikes may be
transported on the train.
11:30am - 2pm Lunch arranged for group
Noon Route swept for remaining riders
2 pm Shuttle Bus, Bike Trailer, Train Depart La Veta for Alamosa
3-4 pm Pick up bikes from Trailer at Habitat Office, Alamosa Chamber of Commerce

For more info, email bikes@slvhabitat.org, call Habitat (719) 589-8678, call Rick (719) 589-5568