8/9/2019 2015 Bike Ride Registration Form
1/1
March 21, 2015
Start time is 7:30 am
Fort Bend ISD Ken Hall Stadium3335 Hurricane Lane, Missouri City
, Texas 77459
What is the Fort Bend Education Foundation? The Foundation
provides opportunities to enrich and enhancethe quality of
education for all Fort Bend ISD students through their grants
programs.
West HoustonBicycle World & Fitness14536 Memorial
Drive281.556.0923Tuesday, March 17th 4:00 pm – 7:00 pm
Sugar LandBike Route2633 Town Center Blvd.
N.281.265.3900Wednesday, March 18th 4:00 pm – 7:00 pm
West UBicycle World & Fitness2519 Rice
Blvd.713.529.0140Thursday, March 19th 4:00 pm – 7:00 pm
Event DayKen Hall Stadium3335 Hurricane LaneMissouri City
77459Saturday, March 21st 6:30 am
Lunch included in registration.
Please complete and sign one form for each
rider. .
___ $30 Early Registration until Feb.1st ___
$35 Pre-Registration Feb.2nd to March 1st ___ $40
Registration after March 2nd ___ I cannot make the ride,
but enclosed is my donation of $__________.
Rider Information: Name:
Male Female Age
Phone: Cell:
Email:
Emergency Contact: Phone:
T-Shirt Size: Women: S M L XL Men: S M L XL XXL
Waiver : In consideration of the acceptance of this
registration, I, the undersigned, acknowledge that my participation
in the Education Expedition Ride is voluntary and assume fulland
complete responsibility for any injury or accident, which may
occur, during my participation in the Education Expedition Ride. I
certify that I am physically fit and have not beeninformed
otherwise by any physician or other health care provider. I certify
that I am sufficiently experienced to ride in the Education
Expedition Ride. I HEREBY RELEASE ANDHOLD HARMLESS THE SPONSORS,
PROMOTERS, EVENT PARTNERS, NATIONAL MULTIPLE SCLEROSIS SOCIETY,
NATIONAL MULTIPLE SCLEROSIS SOCIETY LONESTAR CHAPTER AND ALL OTHER
PERSONS AND ENTITIES ASSOCIATED WITH THE EVENT FROM ANY AND ALL
CLAIMS, DEMANDS, OR CAUSES OF ACTION AS ARESULT OF ANY INJURY OR
DAMAGE WHETHER IT IS CAUSED BY MYSELF OR BY THE NEGLIGENCE, IN
WHOLE OR IN PART, OF THE SPONSORS, PROMOTERS,EVENT PARTNERS OR ANY
OTHER PERSONS OR ENTITIES ASSOCIATED WITH THE EVENT. I agree to
wear a helmet. I understand that a bicycle is a legal vehicle in
theState of Texas and I must ride in a safe manner. I understand
that the risks of a lengthy bicycle tour include, but are not
limited to, head injuries, fractures, dehydration, heatexhaustion,
heat stroke, heart attack, and other possible minor or major
injuries. I consent to emergency medical treatment in the event of
injury or illness. I consent to the use of myname and photograph in
connection with the Education Expedition Ride in any form, printed
or electronic. This agreement shall not be modified orally or in
writing by any individual. Ifentrant is under 18 years of age,
parent or guardian must sign entry. Children under 15 must be
accompanied by an adult.
Rider’s Signature: ________________________________________
Date:_________________________________________
Guardian’s signature (if rider is under the age of eighteen):
_________________________________________________________
Registration & Packet Pickup Information
Registration information is also available online at
www.fortbendisd.com\foundation
Schlumberger Education Expedition Registration Form
Choose Your Ride Length(circle one)
79 – 52 – 10
Make checks payable to: Fort Bend Education Foundation16431
Lexington BlvdSugar Land, Texas 77479
For more information call 281.634.1110
Special T-shirts forEarly Registration!
No guarantee of t-shirt after March 5th
Make sure your bike is ride reaWe ride Rain or ShineHelmets are
required
No headphones allowed
What is the Fort Bend Education Foundation? The Foundation
provides opportunities to enrich and enhance the quality of
education for allFort Bend ISD students through their grants
programs. Programs include: Grants for Teachers and Schools, Grants
for Experts, and Angel Gifts.
