Please enable JavaScript in your browser to complete this form.Please enable JavaScript in your browser to complete this form.CCT New Rider Participant FormYou are participating in the CCT's New Rider Event. The activity requires the ability to ride a bicycle for more than 10 miles. You as the participant are required to wear the necessary gear to facility the ride event. Recommended gear would be t-shirt, shorts, and sneakers. Additionally, bring a water bottle that can be carried on the bottle cage of a bicycle.If you are bringing your own bike ensure it is rideable and in good working order.Name *FirstLastEmail *PhoneAddressAddress Line 1Address Line 2City--- Select state ---AlabamaAlaskaArizonaArkansasCaliforniaColoradoConnecticutDelawareDistrict of ColumbiaFloridaGeorgiaHawaiiIdahoIllinoisIndianaIowaKansasKentuckyLouisianaMaineMarylandMassachusettsMichiganMinnesotaMississippiMissouriMontanaNebraskaNevadaNew HampshireNew JerseyNew MexicoNew YorkNorth CarolinaNorth DakotaOhioOklahomaOregonPennsylvaniaRhode IslandSouth CarolinaSouth DakotaTennesseeTexasUtahVermontVirginiaWashingtonWest VirginiaWisconsinWyomingStateZip CodeDate & Time of ActivityDateTimeEmergency Contact InformationName *FirstLastEmail *PhoneDate This Waiver Was Made: *Release of Liability *I agree to the following:The participant understands and acknowledges the inherent risks associated with the activity/event. The participant releases the organization and its representatives from any claims or liabilities arising from participation in the activity/event. The participant agrees to indemnify and hold the organization harmless from any claims brought against the organization as a result of their actions or negligence. Time Activity Address Signature * Clear Signature Sign Waiver