PRE-REGISTRATION: (Mail to ATRO, c/o Elijah Ramsey III, 207 Kees Circle, Lafayette, LA 70506)

                NAME____________________________________________________    SIZE OF T-SHIRT__________(S,M,L, XL 2XL)

                ADDRESS__________________________________________________________________________________________

                PHONE _________________________________     EMAIL  _________________________________________________

                CHOOSE BIKE ROUTE  ______________________________________(15, 30,40-50 and 100 miles)

Please sign and date the following release of organizers and sponsors.  The ride will take place RAIN OR SHINE.

In signing this form for myself or the above named minor (under 18) participant, I understand and agree to absolve all of the sponsors, organizers be they individuals or organizations, singularly and collectively, of all blame for any injury, misadventures, harm, loss or inconvenience suffered as a result of taking part in the 4^th Annual ATRO Charity Ride or in any of the activities associated with said event.

SIGNATURE_____________________________________________________________   

DATE _______________________________