Saturday, August 8th, 2009
New York Ave. and W. Penn Street, 10:00AM , Rain or Shine
An approximate 15-mile bicycle ride, not race, around the City of Long Beach
C.U.R.B. Citizens United to Remove Barriers (C.U.R.B.) is a local, non-profit organization that offers the physically challenged a chance to live a life free of barriers. C.U.R.B. intends to educate community awareness of the ongoing needs of the physically challenged.
SUGGESTED DONATION: $15.00 per child (17 and under), $20.00 per adult check* or cash
*Please make all checks payable to “C.U.R.B.”
STARTING POINT: Start at the parking lot of Long Beach Catholic Regional School, located in the center of W. Penn in between New York Ave. and Grand Blvd.
T-SHIRTS: T-shirts will be distributed the day of the ride up until the start.
(All pre-registrants are guaranteed a t-shirt)**
PLEASE SEND ENTRIES TO:
C.U.R.B. Bike Ride
46 Wisconsin Street
Long Beach, NY 11561
-If not mailed by that date, you are able to register the day of the ride.-
-Sponsorships are also available-
In Consideration of your accepting this entry, I, the undersigned, intending to be legally bound, hereby, for myself, my heirs, executors and administrators, waive and release any and all rights and claims for damages I may have against the C.U.R.B. Organization, their representatives, successors, and assigns for any and all injuries suffered by me in this event. I attest and verify that I am physically fit and have sufficiently trained for the completion of this ride and my physical condition has been verified by a licensed medical doctor.
Registration – Please PRINT clearly
Name ____________________________________ Phone ______________________
Street City State Zip
Signature _______________________________Parent Signature____________________
If under the age of 17
Age __________ T-Shirt size S M L XL Male______ Female ______
- Check this box if you would like information on the next ride. E-mail ____________________