Marion Countryside Ride Registration
The inaugural Marion Countryside Ride will begin at 9am Saturday, April 1 at the Courthouse Square in Marion. Rain date is April 2 at 1pm.
Entry fee: $40 over 12 years old / $20 for 12 & under. T-shirt and one meal ticket are included in pre-registrations submitted by March 22, 2017.
After you complete your registration form, you will be directed to our payment portal. You will be asked to specify the amount for your transaction, so please be certain the amount you enter is correct. A $2 credit card transaction charge will be added automatically in addition to your registration fees.
By submitting my registration application, I understand that I am legally bound for myself, my heirs, executors and administrators to waive and release any and all rights and claims for damages I may have against the Marion Chamber of Commerce, the City of Marion, their representative, any associated ride sponsor and supporters, volunteers, their agents, and successors/assigns, for any and all injuries that might be suffered by me in said event. I assume all risks with entering this event, including but not limited to falls, contact with other participants, effects of the weather, including high heat and humidity, extreme cold and wind, traffic and the condition of the trails. All such risks being known and appreciated by me, I attest and verify that I am physically fit and sufficiently trained for the completion of this event. I also give consent to allow all pictures taken of the above named entrant to be used for publicity for the Marion Chamber of Commerce and the City of Marion, to include video, website and printed publication. I hereby hold the above organizations harmless against any and all claims or damages arising out of taking or using any print material using my picture and/or name.
Name (Additional Family Members can be listed below if necessary)
City, State, Zip
Emergency Contact Name & Phone Number
List any additional family members you wish to pay for with this transaction.
List NAME & AGE.
Please indicate how many t-shirts per size (For REGISTERED RIDERS ONLY)
Cycling Club affiliation if any (Note: Memphis Hightailers, please insert code)
Do Not Fill This Out