




"Kentucky Klassic Bicycle Tour" September 11 - 17, 2010
Please read, sign and return it with your registration fee. I, the undersigned, understand that every effort will be made to make this event as safe as possible. I know that bicycling can be dangerous. I participate in this event with full knowledge and acceptance of all the risks and assume full responsibility for my own safety during the event. I agree to hold harmless everyone associated with the “Kentucky Klassic Bicycle Tour" held September 11 through September 17, 2010: its agents and assigns, from any and all liability, claim or action from, or arising in any way out of, my participation in this event. A helmet is required to participate on all the bicycle rides. Have a great tour and a safe ride! SIGNATURE PRINT YOUR NAME CELL PHONE #
Emergency Contact Telephone Number area code Please Print .......................................................... ( ) |



| WAIVER |
| SEPT 2010 |


| Henry Clay's home in Lexington |

