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ONLINE REGISTRATION

Please fill out the form below to register for the Mon Valley Century Bicycle Tour. You can make your payment thru PayPal, once the registration is completed. Please print a receipt for your records and bring the receipt with you on Aug 14th. If you have any additional comments or suggestions please let us know.

*NOTICE* Due to Penn DOT construction, the starting point for this years ride will be at the Monongahela Aquatorium.

Please Check Only One Box.


I voluntarily request permission to participate in the 2016 MARC Mon Valley Century Bicycle Tour, I UNDERSTAND THE HAZARDOUS NATURE OF THE ACTIVITY AND ACCEPT FULL RESPONSIBILITY FOR MY PARTICIPATION AND RISKS INVOLVED. Including by way of example and not limitations, dangers of collision with pedestrians, vehicles, other bicycle riders and fixed or moving inadequate safety equipment, the released party negligence, weather condition and the possibility of serious physical and/or mental trauma or injury.
I have no physcial or mental condition, to my knowledge. Which would endanger others or myself or would interfere with my participation. I have inspected all my personal equipment to be sure it is in good and safe condition. I agree to abide by all applicable laws and regulations and to act in a safe and courteous manner. I acknowledge that it is suggested that I wear an ANSI or Snell approved helmet at all times while bicycling the MARC Mon Valley Century Bicycle Tour. In consideration of permission to participate in the MARCMVCBT for myself, my heirs, executors, administrators, legal and personal representatives, successors and assigns. I DO HEREBY DISCHARGE, RELEASE, HOLD HARMLESS, PROMISE NOT TO SUE AND INDEMNIFY MARC, its officers, volunteers, and any other organizations including sponsors associations, municipalities, or individuals connected with MARC from any and all claims, demands, rights, actions, or causes of action of whatsoever kind and nature, arising from and by reason of any and all known and unknown, foreseen and unforessen bodily and personal injuries, damage to property and all consequences thereof which may hereafter be sustained by my participation in the MARCMVCBT. In addition, I hereby consent to emergency treatment in the event of injury or illness.
I herby grant full permission to MARC and/or its agents to use photographs, videos, and other records of this event, including my name, likeness and/or voice for any legitimate purpose.