King Street Cycles Ladies Ride Sign-Up for July 12, 2021

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Please complete this form in order to participate in the King Street Cycles Monday Night Ladies Ride. This form does not replace the need to complete a waiver. Waivers can be completed at King Street Cycles, Tuesday to Saturday. All riders must be members of the King Street Cycles Club or WCC.

Email *

Name (First and Last) *

Phone Number (Example: 555-555-5555) *

Group Choice *

Fast & Furious (Fastest Pace - 6:30 start)

Moderate & Magnificent (Medium Pace - 6:35 start)

Calm & Casual (More Relaxed Pace - 6:40 start)

Unsure (I would like to be contacted by the ride leader to find out more information on which group would be most suitable)

Emergency Contact Name *

Emergency Contact Phone Number (Example: 555-555-555) *

Health Confirmation *

I confirm that I do not have any symptoms of COVID-19 and have not been in contact with someone who is a confirmed or presumptive case of COVID-19 within the last 14 days

Required

Public Health Compliance Confirmation *

I agree to abide by the current public health measures in place, including but not limited to physical distancing, while participating in this ride.

Required

Acknowledgement *

I acknowledge that my participation in this activity may expose me to COVID-19. Although current provincial health guidelines will be followed, this is not a zero risk activity.

Required

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