I understand and acknowledge that participating in this cycling and camping event may expose me to dangers from both unknown and anticipated risks. I understand that during the bike tour, the course is not closed to traffic and that I could be at risk from traffic, other cyclists, bad weather, steep inclines, steep downhills, rough road and rough terrain along the course. I attest and verify that I am over 21 years of age, am physically fit, and have successfully trained for the completion of this event and my physical condition has been verified by a licensed medical doctor. In consideration of the foregoing, I, for myself, my heirs, executors and administrators, waive and release any and all rights and claims for any claims for damages against any of the sponsors, volunteers, organizers, State of Indiana, Brown County State Park, Brown County, Camp Framasa, The Upland Brewing Co., Inc., Energy2Action, LLC and Bikejerseys.com, for any and all claims of damages, demands or loss actions whatsoever which may arise as a result of my participation in this event. I understand that this event may be canceled or delayed for any legitimate purpose or reason and that my entry fee will not be refunded under those circumstances or for any other reason. Further, I grant full permission to The Upland Brewing Co., Inc. , Energy2Action, Bikejerseys.com, to use any pictures of me for the purpose of promoting the Tour de Upland event and any other legitimate purpose.
Age on Event Day ( Must be 21+ to register for this event):
All credit card payments are received on line through Pay Pal, a reputable and secure payment center. No entity or individual is given access to your credit card information other than Pay Pal - not even Energy2Action. Please note that you will be charged $2 for processing through PayPal.
European sizes run MUCH smaller. Make sure you order the right size.
UPLAND Short Sleeve Jersey ($79.00 Extra)
Which Style?:
Size?:
ON LINE REGISTRATION
Emergency Contact Day of Event:
Phone:
How Did You Hear About Tour de Upland?:
Anticipated Distance:
Run-Dri Tour de Upland Short Sleeve T-shirt
(no extra charge - included with your entry fee)
Jerseys that are ordered on line will be SHIPPED to your home PRIOR to the event. Do you want the jersey shipped to the address above? If No, please list the name and address to which the jersey should be sent below:
Food:
Sleeping:
ENTER PROMOTIONAL CODE:
Upland will be offering some special deals!! If you've heard of one of the Upland deals enter the Promo code here!