HOW TO SIGN UP TO BE A RIDER ON THE U of A PARENTS & FAMILY ASSOCIATION EL TOUR DE TUCSON TEAM

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1 HOW TO SIGN UP TO BE A RIDER ON THE U of A PARENTS & FAMILY ASSOCIATION EL TOUR DE TUCSON TEAM 1. Complete the Special Application for Team U of A PFA. This form will be turned in by Captain Earl to the El Tour organizers, so answer all the questions fully and completely. Incomplete forms will have to be returned for your completion. Step by step instructions are on the back of this page. 2. Complete the Assumption of Risk and Release Form. Get a copy of this form at: 3. Enclose a check for $150 made out to El Tour de Tucson/ PFA. This includes your El Tour registration and a non-deductible contribution to the Parents & Family Association of $30. If you are ordering an El Tour jersey your check could be more. See the reverse of this form for a detailed explanation, under # Return the check, the Assumption of Risk form and the Special Application for Team U of A PFA form to: Earl Mendenhall P. O. Box Tucson, AZ All paperwork must be returned to Captain Earl by OCTOBER 7 th. We must have 20 applications for our team by October 7 th or PFA will lose the $30 per person donation mentioned above. We can take late registrations after October 7 th, but there is a late registration shall we say donation of $10 just to keep you motivated. So and get your paperwork turned in on time. Absolutely no registrations can be taken after October 30 th. 6. To RSVP for the no host legendary after ride party, 7pm at Wild Garlic Grill (2530 N 1 st Ave) please Lee O Rourke at lorourke@ .arizona.edu. 7. Go out and get sponsors/donors in support of your ride. After all, you deserve some support!! See the HOW TO MAKE A DONATION FOR EL TOUR DE TUCSON TO BENEFIT THE PARENTS & FAMILY ASSOCIATION worksheet. And hand those out by the dozens!!

2 HOW TO COMPLETE YOUR EL TOUR DE TUCSON REGISTRATION FORM (the Special Application for U OF A PARENTS & FAMILY ASSOCIATION ) 1. Review the front page 2. On the back page complete the basic registration information at the top. 3. Check off your preferred distance in #1 4. Check of the type of bicycle in #2 5. Check off your T-shirt size in #3. All participants will get an El Tour T-shirt as part of your basic registration package. See below if you wish to order a PFA Team T-shirt. 6. Check Level 1 entry in #4. We are riding as a team, so everyone will be in Level 1 7. Read and check all boxes in #5 8. Check where you are staying in #6 9. If ordering an El Tour jersey in #7, check your type and size. 10. Please ignore the box on the right labeled How Much Are You Enclosing Now. Captain Earl will complete that section for you. 11. Write a check to El Tour de Tucson/PFA as follows: a. $150 for on time registrations before October 7 th b. $229 for on time registrations WITH an El Tour Jersey c. $160 if late but still before October 30 th, no jersey d. $239 if late but still before October 30 th WITH an El Tour Jersey

3 Special Application for U OF A PARENTS & FAMILY ASSOCIATION EL TOUR CONQUISTADOR Raise $1,000 and more in contributions and receive an EL TOUR CONQUISTADOR, a metal bicycle sculpture handmade by Jereme Krause and designed by Toni Sodersten of Bisbee, Arizona. For the Benefit of Tu Nidito Children and Family Services is Southern Arizona s resource for children impacted by serious illness or death. Yearly, Tu Nidito provides comfort, hope and support to more than 900 children during the most difficult times imaginable. Ride for a Child and make the most of your El Tour experience. Ride in honor of a Tu Nidito child as you meet your own challenges, bringing hope and comfort to a special child. Receive the child s name and bio, free entry (paid by Tu Nidito), a Team Tu Nidito jersey, El Tour T-shirt, poster and all other event benefits. Learn more about the program at: 31 ST El Tour de Tucson presented by CASINO DEL SOL RESORT America s Largest Perimeter Bicycling Event for Cyclists of all Ages and Abilities Ride 111, 85, 60 or 42 miles or FUN RIDE of 10, 5 or 1/4 miles Saturday, November 23, 2013 Registration closes Thursday, November 21, 2013 or upon reaching 10,000 cyclists. Registration Instructions Each cyclist pays a Processing Fee, Registration Fee and/or Contribution (see Fee Table below). Pay in full or pay only processing fee now and balance by packet pick up! This holds your fees at the current level. El Tour benefits Tu Nidito Children and Family Services. Contributions are tax deductible as allowed by the IRS. When you elect to raise $200 and more for Tu Nidito, you will earn FREE ENTRY paid by Tu Nidito. NO REGISTRATION ON RIDE DAY except for FUN RIDE. Event Benefits to All Registered Cyclists Entry into El Tour Medallion to all finishers Event T-shirt Event packet filled with donated items First aid, SAG support & traffic control on route Fruit, water and snacks at aid stations Opportunity to earn special awards Subscription to Tail Winds newspaper Electronically timed finish Free admission to El Tour Expo Results published on Perimeter Bicycling website and Tail Winds January/February 2014 issue Processing Fee Table Special for U of A Parents & Family Thru Mar 31 $5 Jun 1 - Jun 30 $20 Sept 1 - Sept 30 $35 Nov 16 - Nov 21 $60 Apr 1 - Apr 30 $10 Jul 1 - Jul 31 $25 Oct 1 - Oct 31 $40 Applications and fees must be May 1 - May 31 $15 Aug 1 - Aug 31 $30 Nov 1 - Nov 15 $45 received by stated date. Postmarks will not be considered. For applications paid in full & received by October 11, 2013 Processing $15 + Registration $85 + Min. Contribution $20 = $120 Start Times 111-mi. event 7:00 a.m. 85-mi. event 8:30 a.m. 60-mi. event 10:30 a.m. 42-mi. event 12:00 noon Fun Ride 8:30 a.m. Hotels The best rates available! El Tour s Host Hotels! Visit El Tour s ACCOMMODATIONS link on Perimeter Bicycling s website. Online reservations are being accepted NOW! Room blocks are limited and fill up fast. Fees Table and Levels _ select one level Pay and/or Collect Main Event Fee Levels Select Level Processing Fee Registration Fee Contribution ADULTS (15 & over on ride day) 1 See Table $85 $20 2 See Table FREE $200 3 See Table FREE $350 4 See Table FREE $500 5 See Table FREE $1,000 YOUTH (14 & under on ride day) Event Benefits (see above) Receive these Benefits $15 FREE $ $15 FREE Choose from Level 2, 3, 4 or 5 to earn more benefits! Fun Ride $15 per individual. Groups of 4 or more $10 each. Event Poster Gift Certificates Ride for a Child Details in Tu Nidito box. Ride for a Child & earn a trophy! Conquistador Trophy See full details about this event at EVENT JERSEY GIFT CERTIFICATES WIN THE TREASURE CHEST! PERIMETER BICYCLING Association of America, Inc. Pre-order your Event Jersey with your registration. See reverse side. Check out the design at are used to purchase goods or services at any Perimeter Gift Center. Collect $350 or more in contributions then receive two certificates for every $10. Certificate value = $1 each. For example raise $500 and receive $100 in Gift Certificates. Contributions must be turned in by Friday, Nov. 22, Visit our website for Perimeter Center list. The person who raises the most money is awarded the Treasure Chest with a bicycle & gifts worth over $3,000. To qualify, a minimum of $3,000 must be turned in by Nov. 22, is a 501(c)(3) non-profit organization that produces bicycling events benefiting other non-profit organizations. Yearly membership helps us continue our mission to raise funds and produce quality cycling events. Join with your registration. For more info visit Contact: (520) info@perimeterbicycling.com See reverse side for application, rider waiver form and more info about El Tour Fun Ride.

4 SPECIAL APPLICATION FOR U OF A PARENTS & FAMILY ASSOCIATION Name Birthdate Sex Occupation Address City State Zip Country Address: Primary Phone ( ) Alternate Phone ( ) Emergency Contact Name HOW MUCH ARE YOU ENCLOSING NOW? Emergency Contact Phone ( ) Minimum of processing fee required.* Absolutely no refunds. You must answer all questions: *Lock in your registration now & pay the processing fee. Balance due when you pick up your packet. (1) Check your 111 miles ride distance: Processing & Registration Fees are payable to 85 miles 60 miles 42 miles Perimeter Bicycling and are not tax deductible. Fun Ride: Download application at Contributions are tax deductible as allowed by the IRS. (2) Check type of bicycle you will ride (no motorized or assisted bikes): Road/Hybrid Mountain Recumbent Handcycle Tandem - separate application and fees required for partner Tandem partner name (3) T-shirt size (check one) Adult S M L XL XXL 3X Youth Med. (4) Check the Fee Level you selected (see other side) Processing Fee (see table on reverse side) Registration Fee (see table on reverse side) Contributions (see table on reverse side) Perimeter Bicycling Membership (Optional)...$ El Tour Jersey (Optional)... $79 Level 1 - entry Level 2 - poster Pick up at El Tour Store at Expo Level 3 - Gift Certificates Level 4 - Ride for a Child Level 5 - Conquistador Trophy Total Enclosed Level 6 - YOUTH (14 & under) (5) Check that you read each of the following statements: Aerobars are not permitted. A CPSC-approved helmet must be worn. There are no refunds or transfers of registration or rider numbers. I will pick up my own packet at Expo/Packet Pick Up and bring a picture ID. This is mandatory. Visit our website for location & dates. I have read, understand, agree to and signed the Rider Waiver below. I have completed the box to the right. (6) Where are you staying during the event? Home Friends/Family Hotel, please name (7) If ordering a 2013 El Tour Jersey at $79 with this registration: check A and circle B. Pick up at at the El Tour Store at Expo (A) Men: Club Fit Women: Race Fit (B) Jersey Size: Adult S M L XL XXL 3X Rider Waiver Form: All riders must read and sign this form. Office Use Only Mail completed application with fees & contributions to: El Tour, 2609 E Broadway Blvd., Tucson, AZ El Tour FUN RIDE All ages and abilities cycle 10, 5 or 1/4 easy miles! $15 registration for individuals Visit to learn how groups can register for $10 each and full details about the program. Visit El Tour Perimeter Store! An official Perimeter Center Jerseys, commemorative cycling merchandise, posters, T-shirts and more! Redeem your GIFT CERTIFICATES here! Rider s Signature Date Upon receipt of this completed form with minimum payment of processing fee, Perimeter Bicycling will send a Confirmation Letter. May not apply if Parent/Guardian (if rider is under 18) Date event is within two weeks. Completed application and payment must be turned in to your Group Captain. THIS APPLICATION WILL NOT BE ACCEPTED AFTER THE DUE DATE. Sanctioned by Perimeter Bicycling Association of America, Inc. (520) info@perimeterbicycling.com Rev. 8/29/ PERIMETER BICYCLING ASSOCIATION OF AMERICA, INC. CODE 34 UAP&F This section must be completed. SPECIAL FOR U OF A PARENTS & FAMILY Processing is $15 for applications paid in full and received by October 11, 2013 (Total $120 each) Completed application and payment must be turned in to your Group Captain. In signing this waiver as a participant in El Tour de Tucson, I understand and accept that I must obey all laws of the State of Arizona that may apply to my activities during this event, especially traffic laws. Unless instructed to the contrary by a law enforcement official, I will comply with all traffic regulations including traffic signals, devices, signs and other traffic rules. El Tour closes at 6:00 p.m. on Ride Day and all course support will end at that time. I understand that if I continue on the course after 6:00 p.m. I am solely and completely responsible for my own safety and support and must obey all laws, including proper lighting on my bicycle after dusk. In consideration of my signing this agreement, 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, including, but not limited to, the loss of my bicycle, helmet or any other personal items, I may have against the State of Arizona, Arizona Department of Transportation, Arizona Department of Public Safety, City of Tucson, City of South Tucson, Pima County, Tu Nidito Children and Family Services, The Leukemia & Lymphoma Society of America, Perimeter Bicycling Association of America, Inc., Town of Oro Valley, Town of Marana, Sol Casinos, Catalina Community Services, any other associated agency or beneficiary, any and all governmental and tribal agencies, and any and all underwriters and their representatives, successors, and assigns for any and all injuries suffered by me as a result of taking part in this bicycling event and any related activities. I attest that I will participate in this event as a bicycling entrant; I will wear an CPSC-approved bicycle helmet; that I am physically fit and have sufficiently trained for the completion of this event and that my physical condition has been verified by a licensed medical doctor. Further, I hereby grant full permission to any and all the foregoing to use any photographs, videotapes, motion pictures, recordings, or any other record of this event for any legitimate purpose. I understand that I will receive periodic communication from Perimeter Bicycling in the form of USPS or electronic mail and that I may unsubscribe from such mailings at any time by directly contracting Perimeter Bicycling. The event utilizes open public roads, which may or may not be maintained by local municipalities, cities, counties, and/or the State. The event is not responsible for the condition and maintenance of the roads. Road hazards are always possible and in entering this event, and signing this waiver, I agree and understand that I must be alert to all road hazards, including but not limited to: pot holes, uneven pavement, road cracks, road debris, unfinished construction, and motor vehicle traffic. I understand that aero-type and other similar handlebars are prohibited in this event and that utilizing such bars may result in my disqualification. Furthermore, I am responsible for all my personal items including, but not limited to cameras, cell phones, clothing, bicycles, etc. I understand that there are no refunds or transfers of registration to another person or event. I understand that I will receive a chip (transponder) so I can be timed in this event. I understand that I am responsible for properly mounting the device to my bicycle and that improper mounting may result in NO TIME being recorded.

5 ASSUMPTION OF RISK AND RELEASE FORM THIS IS A RELEASE OF LEGAL RIGHTS -- READ AND UNDERSTAND BEFORE SIGNING. Name of Participant: Are you an enrolled UA Student (circle)? Yes No Date of Birth: (If student is under 18 years of age, a parent or legal guardian must also read and sign this form.) Program:UA Parent & Family Association El Tour de Tucson Team Facility site: El Tour de Tucson Race Day Route and City of Tucson for training I hereby agree as follows: 1. Risks of Participation. I fully recognize that there are dangers and risks to which I may be exposed by participating in the Program. I understand that the University of Arizona and its governing board, officers, employees, and agents (collectively the University ) does not require me to participate in the Program, but I want to do so, despite the possible dangers and risks and despite this Release. I therefore agree to assume and take on myself all of the risks and responsibilities in any way associated with the Program. 2. Health & Safety. I understand and agree that the University does not have medical personnel available at the Facility, which is the site location for my participation in the Program. I understand and agree that the University is granted permission to authorize emergency medical treatment, if necessary, and that such action by the University shall be subject to the terms of this Agreement. I understand and agree that the University assumes no responsibility for any injury, damage or cost which might arise out of or in connection with such authorized emergency medical treatment. I have consulted with a medical doctor with regard to my personal medical needs. There are no healthrelated reasons or problems that preclude or restrict my participation in this Program. I have arranged, through medical insurance or otherwise, to meet any and all needs for payment of medical costs while I participate in the Program. I understand that neither the University nor the Facility is obligated to provide transportation in connection with the Program. I understand that I am expected to carry my own automobile liability insurance coverage. 3. Standards of Conduct. I will comply with the University's rules, standards and instructions for student behavior, including the Student Code of Conduct, as well as the Facility s standards of conduct. I understand that I am not permitted to consume alcohol, possess/use illegal substances or weapons, or engage in sexual/illicit behavior while participating in the Program. I waive and release all claims against the University that arise at a time when I am not under the direct supervision of the University or that are caused by my failure to remain under such supervision or to comply with such rules, standards, and instructions. I agree that the University has the right to enforce the standards of conduct described above, in its sole judgment, and that it will impose sanctions, up to and including expulsion from the Program or from the University, for violating these standards or for any behavior detrimental to or incompatible with the interests, harmony, and welfare of the University, the Program, the Facility or other student participants. The University has the right to make changes in the format and administration of the Program. I understand that the University has no control over the operations or premises of the Facility. 4. Assumption of Risk, Covenant Not To Sue, and Release of Claims. Knowing the risks described above, and in consideration of being permitted to participate in the Program, I agree, on behalf of my family, heirs, and

6 personal representative(s), to assume all the risks and responsibilities surrounding my participation in the Program. To the maximum extend permitted by law, I release, indemnify, and covenant not to sue the University from and against any present or future claim, loss or liability for injury to person or property which I may suffer, or for which I may be liable to any other person, during my participation in the Program (including periods in transit). I have carefully read this Release Form before signing it. No representations, statements, or inducements, oral or written, apart from the foregoing written statement, have been made. This agreement shall be governed by the laws of the state of Arizona, which shall be the forum for any lawsuits filed under or incident to this agreement or to the Program. x Signature of Participant Date x Signature of Parent/Guardian (if student is under age 18) Date Emergency Contact Information Name of Parent/Guardian: Telephone: Address: 2