SICCO starts at Firestone Park in Columbiana, Ohio on Rt 344 just east of the town center.

Registration opens at 8 AM and closes at 10 AM. First riders out at 8 AM.

T-Shirts are available if ordered by April 10. Short sleeve: $12

Pre-register! All pre-registered riders receive a packet containing maps, lunch band and shirt

(if ordered).

Confirmation? Kindly send a SASE with your registration.

Questions? Contact Rachel De Atley by email — Rachel.deatley@hotmail.com

 

Name __________________________________________Tel_______________________

 

Address__________________________ City______________ State_______ Zip_________

 

Are you 18 years or older? Yes _______ No ________ Club/Organization ______________

 

Before April 10 $13 _______ T-shirt short slv $12 _______

After April 10 $15 _______ Circle size M L XL XXL

Total $ _______

 

Checks payable to: Outspokin Wheelmen - SICCO 2008- Box 838 -Youngstown OH 44501

Name of person riding with you: ________________________ cell ____________________

 

HELMETS ARE MANDATORY

 

Liability Release—I voluntarily request permission to participate in the 2008 SICCO, UNDERSTAND THE HAZARDOUS NATURE OF THIS ACTIVITY AND ACCEPT FULL RESPONSIBILITY FOR MY PARTICIPATION AND THE RISKS INVOLVED including, by way of example and not limitation, dangers of collision with pedestrians, vehicles, other cyclists and fixed or moving objects, dangers arising from surface hazards, equipment failure, inadequate safety equipment, the released parties’ negligence, weather conditions and the possibility of serious physical and/or mental trauma or injury. I have no physical or mental condition, to my knowledge, which would endanger myself or others, 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 mandatory that I wear an ANSI or Snell approved helmet at all times while bicycling in SICCO. In consideration of permission to participate in SICCO 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 THE SPRING IN COLUMBIANA COUNTY OHIO, its officers, volunteers, and any other organizations including sponsors, associations, municipalities, or individuals connected with SICCO from any and all claims, demands, rights, actions or causes of actions of whatsoever kind and nature, arising from and by reason of any and all known and unknown, foreseen and unforeseen bodily and personal injuries, damage to property and all the consequences thereof which may hereafter be sustained by my participation in SICCO. In addition, I hereby consent to emergency treatment in the event of injury or illness.

 

Signed__________________________________________________________Date________________________

Minors: Individuals under 18 must obtain signature of parent or guardian. By signing this release, I as a parent or guardian of minor participant hereby give permission to the terms of the above release. Note: children uner 16 must be accompanied by parent or guardian.

 

Signed (Parent or Guardian)_________________________________________ Date________________________