WAIVER & RELEASE
                                                                   "Kentucky Klassic Bicycle Tour"
                                                                         September 11 - 17,  2010




    This document could affect your rights.  
    Please read, sign and return it with your registration fee.  


    I, the undersigned, understand that every effort will be made to make this event as safe as possible.  I know that
    bicycling can be dangerous.  I participate in this event with full knowledge and acceptance of all the risks and assume
    full responsibility for my own safety during the event.

    I agree to hold harmless everyone associated with the “Kentucky Klassic Bicycle Tour" held September 11 through
    September 17, 2010: its agents and assigns, from any and all liability, claim or action from, or arising in any way out of,
    my participation in this event.

    A helmet is required to participate on all the bicycle rides.

    Have a great tour and a safe ride!


                                 SIGNATURE                               PRINT YOUR NAME                        CELL PHONE #


             1.


    2.


                       Emergency Contact                                                 Telephone Number

                                                                                                                         area code
Please Print ..........................................................                                                      (         )
WAIVER
SEPT                             2010