5^th Annual CAN Bicycle Ride & Walk

Sunday, February 8, 2009

 

100% of money raised helps people right here in the Greater Naples area!

                         

 

Visit www.naplessocialaction.org for more details. 

 

Ted Coiné, Event Chairman (239) 601-6034 ted@...

 

Sign-in begins at 6:45.  Start times: 100 mi. 7:30 am/ 62 mi. 7:45 am/ 25 & 10 mi. 9 am

*2009 will also begin the tradition of a 5k walk with start time of 12noon*

Starts and finishes at the Village on Venetian Bay (Park Shore Dr. & Gulfshore Blvd.)

 

Last Name________________________      First Name______________________

 

Street _____________________________ City/State/zip _______________________

 

Phone _________________   email _______________________

 

Age ___________       Circle: Male                Female            T-Shirt Size _____

 

Emergency Contact ______________________ Phone _____________

 

Course (circle one):    10 miles           25 miles           62 miles           100 miles

 

Ride Entry fee:   $40 thru Jan. 25 /  $50 thru Feb. 7 /  $60 Feb. 8

$20 Kids 12 + under

Walk Entry fee: $10 for all ages

Pledges (OPTIONAL): Riders are asked – but not required – to collect at least $100 in pledges in addition to their entry fee.  100% of pledge-money goes directly to the Cancer Alliance of Naples.

 

Please make checks payable to Naples Social Action.

Mail to The Naples Social Action, P.O. box 2701, Naples FL 34106

 

Riders under 14 years old require parents’ consent and must be accompanied by adult on the ride.  Helmets required.  No headphones allowed.  Liability Waiver I hereby waive, release, and discharge the organizers, sponsors, Naples Social Action, and the Cancer Alliance of Naples of any liability regarding my participation, or the participation of any minor, in the NSA-CAN Ride.  I understand that this is not a race and not a “closed course,” so riders will be riding in normal traffic, and that I am required to wear a helmet and obey all traffic laws and signals.  Cycling is strenuous and is inherently dangerous, and serious injury, and even death, can occur. 

 

X Signed ____________________________________________________________________________

Consent for my minor to participate ____