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Golden Spoke Sponsor:gneka �11. ,,,,,,�,.�,;,,,, <br />hiropractic <br />FREE T-SHIRT & LUNCH <br />Riders receive a T-shirt, bandana, and lunch with a paid registration <br />fee. The first 200 registrations receive a bike bag filled with goodies <br />from our sponsors. You must sign up thru September 1 to receive a <br />t-shirt. <br />THE EXPERIENCE <br />Hosted by the Honorary King of the Mountain, these unique rides <br />feature bell ringers along the routes, energy stops and an after party. <br />BRAKE FOR CAKE <br />There are energy stops along each route <br />with free snacks and water. Be sure to stop <br />at the Cake Break along the 20+ mile routes. <br />RIDE SUPPORT <br />Provided by Forest Lake Cycle and Skate. <br />WEATHER <br />We will ride rain or shine. <br />TO REGISTER <br />Register online at <br />www.tourdehugo.com <br />or <br />Make checks payable to: <br />Tour de Hugo <br />and mail entry form to: <br />Midwest Events <br />1890 Whitaker St <br />White Bear Lake, MN 55110 <br />For more information go to www.tourdehugo.com, call 651-762-6342 or find "Tour de Hugo" on Facebook! <br />ENTRY FORM: <br />A COMPLETE ENTRY FORM WITH WAIVER SIGNATURE IS <br />REQUIRED FOR EVERY INDIVIDUAL RIDER. <br />Name: <br />Address: <br />City, State <br />Email: <br />Phone: <br />understand that bicycling is a potentially hazardous sport and knowingly, at my own risk, <br />inter this event. I, on behalf of myself, spouses, heirs and assigns waive any claims for <br />death, damages, or injuries that I may incur as a result of active or passive negligence <br />arising out of my participation in this event against the City of Hugo, any sponsor, <br />volunteer, or employee unless caused by their gross negligence or intentional, willful or <br />wanton acts. I understand that all entry fees are non-refundable. <br />understand that helmets are required for ALL riders. <br />Signature: <br />;Parent/Guardian if rider is under 18) <br />❑ City Six Family Ride 20, 35, 50 or 62 Mile Ride <br />FREE FEE REQUIRED <br />Does not include T-shirt or lunch. OR Includes T-shirt (if registered thru Sept 1) <br />All riders must sign the waiver. and lunch. <br />T-SHIRT SIZE <br />RIDE <br />REGISTRATION FEE <br />❑ YS <br />❑ YM <br />❑ AS <br />❑ AM <br />❑ 20 mile <br />❑ Early Registration $40 <br />❑ YL <br />❑ AL <br />❑ 35 mile <br />(Before September 1) <br />❑ Y XL <br />❑ A XL <br />❑ 50 mile <br />❑ Late Registration $50 <br />❑ A 2XL <br />❑ 62 mile <br />(After September 1) <br />