Saturday, March 20, 2010
The Lakes Mall
Form a Team by
February 22, 2010
Call (231) 672-4814
Fax: (231) 672-6707
Mercy Health Partners
Community Development Office
1500 Sherman Boulevard
Muskegon, MI 49444
Responsibilities for TEAM CAPTAIN
Recruit eight team members and one alternate member. The alternate is needed to replace a
member due to illness/injury. Determine if you would like a Team Name. Determine the order
(heats #1 through #8) team members will ride. Send in the Team Registration Form by
February 22, 2010. Late entries will accepted based on availability.
Distribute a Rider Packet to each team member. Review the important dates with each team
member (page 3 in the Rider Packet). If applicable, collect entry fees for each team member.
Select one bike from the team to be used at the event. Bike selected must be delivered to
The Lakes Mall on Friday, March 19th between the hours of 3:30 PM and 7 PM. Please make
sure the bike selected is in good working order so it can withstand four hours of riding.
See page 5 in the Rider Packet for more details. Please remember top gear ratio allowed
Determine if team will be decorating the 4x6 carpet square and/or bike. If so, coordinate the
decorating the evening of March 19th. Bikes are to be registered between 3:30 PM and 7 PM,
and will be mounted on the trainer on a first come, first served basis. Decorating can begin
once the bike has been mounted on the trainer and placed on the carpet square. Decorating
will be allowed until 8:30 PM. No decorating is allowed on race day. There are awards for Best
Dressed and Most Creative teams. Please contact the Community Development office if you
When paying for an individual team, the team captain is responsible for securing and
submitting the $400 team registration fee by March 19th. (Dollars applied towards the team
registration will not count as a donation or towards Most Money Raised awards).
Ensure that each Team Member submits their signed Release Form. You may either collect
forms prior to the race or mail them to: Mercy Community Development Office, 1500
Sherman Blvd., Muskegon, MI 49444; or fax them to: (231) 672-6707; or, you may ask each
Team Member to bring their Release form to the race on March 20th. (Copies of the Release
form will be available at the Rider Registration on race day.) All riders must sign the Release
Form to participate.
Each Rider must check-in at the Registration Table on Race Day
thirty (30) minutes before their scheduled heat.
Team Registration Form
RETURN THIS FORM BY FEBRUARY 22, 2010
Mail to: Mercy Health Partners, 1500 Sherman Blvd., Muskegon, MI 49444
or, send by fax to: (231) 672-6707
Team Name: _____________________________________________________________________
Team Captain: ____________________________________________________________________
Address:_________________________________________ Phone: _________________________
Team Captain’s Email address: ________________________________________________________
Please indicate your team’s level of riding expertise. This will impact distant/mileage awards only.
Serious/ Highly Competitive Cyclists-Level One
Active/ Recreational Cyclists-Level Two
This is an all women’s team
Heat Name of Rider Age M/F Size (Adult S – M – L – XL)
#1 ______________________________ ______ _____ ______ (Heat #1: 12:00 N – 12:25 PM)
#2 ______________________________ ______ _____ ______ (Heat #2: 12:30 PM – 12:55 PM)
#3 ______________________________ ______ _____ ______ (Heat #3: 1:00 PM – 1:25 PM)
#4 ______________________________ ______ _____ ______ (Heat #4: 1:30 PM – 1:55 PM)
#5 ______________________________ ______ _____ ______ (Heat #5: 2:00 PM – 2:25 PM)
#6 ______________________________ ______ _____ ______ (Heat #6: 2:30 PM – 2:55 PM)
#7 ______________________________ ______ _____ ______ (Heat #7: 3:00 PM – 3:25 PM)
#8 ______________________________ ______ _____ ______ (Heat #8: 3:30 PM – 3:55 PM)
#9 Alternate: ______________________ ______ _____ ______
2010 Team Payment
Entry Fee:* $400.00 ($50/rider)
Enclosed is my check for $400.00. Please make checks payable to Mercy Health Partners.
Please send me a bill for $400.00.
Please charge $400.00 on my credit card.
Visa Mastercard American Express
Card Number: _______________________________________________ Exp. Date:________
Signature (required) ___________________________________________________________
Payment for Team Registration must be paid in full by March 19th (by bike registration time)
in order to secure your team’s participation in the event.
I would like to receive information about The Ride Corporate Sponsorship opportunities.
Please call me at ________________________.
Please mail this form (or send by fax: 231-672-6707)
by February 22, 2010.
Mercy Health Partners
Community Development Department
1500 Sherman Blvd.
Muskegon, MI 49444
Questions? Call the MHP Community Development office at
*Team entry fee is not applied toward the award for Most Money Raised.