Please provide your contact information below:

 

*
Question - Required - Please accept the Waiver/Agreement by selecting "Yes" below. * By executing this registration, I, the undersigned, hereby acknowledge that I knowingly waive, release, discharge for myself, my heirs, executors, administrators, legal representatives (including successors) any and all rights and/or claims which I have, may have, or may hereafter accrue to me against Meals on Wheels, Inc., the sponsors and promoters of the 2018 WHEELS FOR MEALS CELEBRATION RIDE or other sponsors or affiliated organizations and their respective agents, officers and employees for any and all damages, injuries or claims which may be sustained by me directly or indirectly arising out of my participation in the 2018 WHEELS FOR MEALS CELEBRATION RIDE. I understand I must wear a helmet during the ride. I attest that I am physically able and have trained for this event. I give my permission for the free use of my name and picture in any written or broadcast account of this event.


   Please leave this field empty