St. Ansgar's 2 x 4 Bike Ride
Saturday, June 19, 2010
Travel through 2 states & 4 counties
for a total of 25, 35, or 50 miles.
Leave from St. Ansgar, Iowa at 8:00 a.m. & ride through
Mitchell, Mower, Freeborn and Worth Counties
in Iowa and Minnesota.
Travel through the towns of Otranto, Grafton & Carpenter
before returning to St. Ansgar

Register at the St. Ansgar High School north parking lot starting at 7 a.m.
2 x 4 ride starts at 8:00 a.m. RAIN or SHINE. Sag vehicles will tour the route until 2:00 p.m.

Questions? Please call Sue Johnson - (641) 713-2272
or e-mail rejohnso@omnitelcom.com

PLEASE REGISTER

-------------------------------------------------------------------------------------------------------------------------------------

DISCLAIMER

The St. Ansgar Lions Club and START (St. Ansgar Recreational Trail Committee) or anyone helping with this ride assumes NO responsibility for personal injury, property damage, theft or loss during this event. Each participant is responsible for obeying all traffic regulations and personal safety while riding. All cyclists ride at their own risk and agree to hold the St. Ansgar Lions Club and START, their officers and leaders blameless in case of accident or injury. Any cyclist under the age of 18 must be accompanied by a responsible adult. A parent or guardian must sign for applicants under the age of 18.
All applications must be signed, and in signing the liability release, I agree to the above conditions. Early returned registrations will assure proper shirt size.

Registration form and liability release:

NAME______________________________________ SIGNATURE____________________________________

ADDRESS ___________________________________ AGE____________ PHONE___________________________

CITY______________________________________ STATE____________________ ZIP_____________________

PARENT OR GUARDIAN SIGNATURE (for minor)________________________________________________

TO PRE-REGISTER, SEND CHECK or MONEY ORDER and SHIRT SIZE TO: