Youth Event Registration - Sharing Wheels Community Bike Shop

Please register once per event and per individual.

Need more info? Return to our Youth Bike Club Grads page, or contact youthprogram@sharingwheels.org.

Registration closes after Wednesday, July 8.

Participant's full name(Required)

Which event are you registering for?(Required)

The participant is…(Required)

18 or older

Under 18 years of age

The participant…(Required)

is a graduate of Youth Bike Club (YBC)

Summer ice cream ride open to graduates only.

My YBC buddy is…(Required)

I attend this school(Required)

My school is…(Required)

Email address for event registration(Required)

Participant's phone number(Required)

Does the participant have any health or mobility concerns that our Sharing Wheels event leader should be aware of? (optional)(Required)

Emergency contact's full name(Required)

Emergency contact's phone number(Required)

Parent or guardian's full name(Required)

Parent/guardian participation (optional)

The parent/guardian will also be attending this event

Parent/guardian email address(Required)

Parent/guardian phone number(Required)

Will you need a 5PM activity bus pass?(Required)

Yes

Liability Waiver

I will be attending or participating in an “event” (a ride, organized activity or other event) hosted or coordinated by Sharing Wheels, a non-profit community bike shop located in Everett, WA.

I am participating or attending by choice. I release all Sharing Wheels staff and volunteers from any and all liability, claims, or demands related to any loss, damage or injury (including death) that may be sustained by me or my dependents/minors under my supervision while participating in or traveling to/from this event.

I understand that personal injury can and may occur to myself or participating dependents/minors under my supervision. I hereby authorize Sharing Wheels staff or event volunteers to seek medical attention if needed. I further agree to be liable for and pay any costs incurred in connection with such medical attention.

I have been provided with a copy of the full ASSUMPTION OF RISK, WAIVER OF LIABILITY, AND CONSENT TO EMERGENCY MEDICAL TREATMENT document, and by signing below, I agree to the terms stated within that document.

PERMISSION TO USE MY LIKENESS. Unless marked below or communicated otherwise to Sharing Wheels in writing, I permit Sharing Wheels to use my image without payment in any future Sharing Wheels materials should it appear in photos, video, or other recordings taken during an Event.

TERM OF WAIVER Unless indicated otherwise, my agreement to this waiver is in effect for THE ENTIRE CALENDAR YEAR which includes the date of signing.

Signature

By signing below, I am indicating that I have fully informed myself of the assumption of risk, waiver of liability, and consent to emergency medical treatment, and agree to their terms. I acknowledge and accept all the terms outlined in this waiver.

Parent/Guardian or Adult Participant signature(Required)

Likeness sharing opt out (optional)

Opt out: I do not permit Sharing Wheels to use our likeness