Please enable JavaScript in your browser to complete this form.Please enable JavaScript in your browser to complete this form.CCT New Rider Participant Form Time CCT & You 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.Signature * Clear Signature Sign Waiver