Sponsors by liuhongmei


									Release of Liability/Waiver:
In consideration of the acceptance of my entry and being allowed to par-
ticipate or volunteer for the Ride for Life sponsored by the Life Enrichment
Center (LEC)/Life Resource Centre (LRC)/Dayton Right To Life organiza-
                                                                                              Sponsors                                                              Spirit of the Ride
                                                                                                                                                         Tom and Kacie Hausfeld lived every day of their lives
tion, I, the undersigned, acknowledge, appreciate and agree that: 1. The risk                                                                            to the fullest and with passion. Their passion also
of injury from the activities involved in this program is significant, including
the potential for permanent paralysis, and death, and while particular skills,
                                                                                                                                                         extended to Dayton Right to Life. We lost Tom and
equipment and personal discipline may reduce this risk, the risk of serious                                                                              Kacie tragically last year, but their spirit lives on in
injury does exist; and 2. I knowingly and freely assume all such risks, both                                                                             the TK Hausfeld Ride for Life. By participating in this
known and unknown, even if arising from the negligence of the releasees or
others, and assume full responsibility for my participation; and 3. I willingly
                                                                                                                                                         ride you will be helping the fight for life, and living
agree to comply with the stated and customary terms and conditions for par-                                                                              the legacy that Tom and Kacie left for us.
ticipation. If, however, I observe any unusual significant hazard during my                                                            July 30, 2011                                                   Lori Hausfeld
presence or participation, I will remove myself from participation and bring
such to the attention of Dayton Right To Life immediately; and, 4. I, for my-                                                                                                       Ride
self and on behalf of my heirs, assigns, personal representatives and next of
kin, hereby release, indemnify, and hold harmless the Life Enrichment Cen-                                                                                Multiple ride distances for the family, pleasure and
ter (LEC)/Life Resource Centre (LRC)/Dayton Right To Life, their officers,                                                                                                  competitive rider
officials, agents and/or employees, other participants, sponsoring agencies,
sponsors, advertisers, and, if applicable, owners and lessors of premises used                                                                                 Ride distances: 6, 13, 21, 33, 63 and 100 miles
for the activity (“Releasees”), with respect to any and all injury, disability,
                                                                                                                                                                      Riders start: 7:00 a.m. to 11:00 am
death or loss or damage to person or property associated with my presence or
participation, whether arising from negligence of the releasees or others, to                                                                                            Riders finish NLT 1:00 p.m.
the fullest extent permitted by law.
                                                                                                                                                          Location (Ride/Celebration): Life Enrichment Center
Safety helmets are required for all riders. Headphones for riders are not                                                                                 (next to bike path), 425 N. Findlay St., Dayton, OH
allowed in this event.

I grant Dayton Right To Life specific permission to reproduce, publish, circu-
late, copyright or use any and all photographs and/or video (and use of name)
of me and/or my family taken at the Ride for Life (and Celebration of Life).
                                                                                                                                                                               1:00 pm - 2:30 pm
I have read this release of liability and assumption of risk agreement, fully                                                                                     Door prizes, food, live music, speakers
understand its terms, understand that I have given up substantial rights by                                                                                           Spirit of the Ride: Lori Hausfeld
signing it, and sign it freely and voluntarily without any inducement.                                                                                                Emcees: Tommy Collins (WHIO)
                                                                                                                                                                                 Bill and Melody (WFCJ)
Signed: _________________________ Date: __________                                                                                                                          Music: Nick Cardilino
           Participant/Volunteer                                                                                                                              Inspirational Presenters: Stand Tall With Passion
For Parents/Guardians or Participants of Minority Age (Under age 18 at time
of registration)                                                                                                                                         Join over 250 bicyclists – raising funds for Dayton Right to Life
This is to certify that I, as parent/guardian with legal responsibility for this                                                                                     on safe bike paths in three county area
participant/volunteer, do consent and agree to his/her release as provided
above of all the Releasees, and, for myself, my child and our heirs, assigns,
                                                                                                                                                                                 Registered riders will receive a T-shirt
and next of kin, I release and agree to indemnify and hold harmless the Re-
leasees from any and all liabilities incident to my minor child’s involvement                                                                                                         (guaranteed first 250 riders)
or participation in these programs as provided above, even if arising from the       Look for additional Sponsors at Ride time!!!
negligence of the releasees, to the fullest extent permitted by law.                                                                                                            Volunteers will be along the bike paths
                                                                                   Don’t miss the event of                          Keeping the fun in                           and at rest stops with food and drinks
                                                                                                                                                                                       SAG and medical support
Signed: ____________________________ Date: ___________
     Parent/Guardian of Participant/Volunteer                                           the summer!                                   FUNdraising!                                      DVD for all participants
                                                                                    www.daytonlife.org - 937.461.3625
                            Schedule                                                           Featuring...                                                         * Promoting life, family and good
                                                                                                                                                                                                                            Register on line: www.speedy-feet.com
Saturday – July 30, 2011                                                                                                                                              * Saving lives, touching lives,                       Register by mail: Ride for Life, 425 N Findlay St., Dayton, OH
                                                                                                                                                                             changing lives.                                45404
7:00 a.m. - 11:00 am
                                                                           Stand Tall With Passion
                                                                                                                                                                      * Celebrate life with passion.
                               Ride Registration & Packet Pick Up                                                                                                                                                           Name___________________________________
                                                                                       Mark Ewald                                                                                            Dayton Right to Life
                                                                                       Assistant Football Coach, Wittenberg University
     Recommended starting times (Start to finish NLT 1:00)                                                                                                                                                                  Address _________________________________
                                                                                       *National Sales Leader - Office Depot *Presi-
 * Advanced/intermediate riders (33, 63, 100 mi) -7:00 a.m.
                                                                                       dents Club Winner *Community Leader                Tour the Life Enrichment Center Bike Shoppe
       * Pleasure/family riders (6, 13, 21 miles) - 9:30 a.m.                                                                                                                                                               City ________________________State _______
                                                                                       Tony Vittorio
1:00 p.m. - 2:30 p.m.                                                                  Head Baseball Coach, University of Dayton                                                                                            Zip _____________________
                                         Celebration of Life                           *Atlantic 10 Champions-2009 *Atlantic 10
                          Spirit of the Ride: Lori Hausfeld                            Coach of the Year -2009 *500+ Collegiate Wins                                                                                        Phone (Home) _____________(Cell)_____________
 Emcees: Tommy Collins (WHIO), Bill and Melody (WFCJ)
                                      Music: Nick Cardilino                Stand Tall with Passion provides a sincere and passionate                                                                                        Email _______________________________
          Inspirational Presenters: Stand Tall with Passion                presentation to inspire parents, teachers, coaches, stu-
                                               Door Prizes                 dents, employees, and teams, to become the best they                                                                                             Date of Birth ________________ Age _______
                                                      Food                 can possibly be, and to make dreams and goals become          Door Prizes: 4 Dragons tickets, Matthew Kelly
                         Directions                                        a reality.                                                    DVD series, sales training seminars, bike tune-ups,
                                                                                                                                         gift cards, books, gift baskets... Must be present to
                                                                                                                                                                                                                            Distance (Miles): 6____13___21____33____63____ 100___
                                                                                                                                         win. Look for additional door prizes ride day (last
From the north
                                                                                                                                         year - over $6,000.00!!)
                                                                                                                                                                                                                            T-Shirt Size: Adult S ___M ___L ___XL ___
                                                                                                                                                                                                                                          Youth S ___ M ___L ___
I-75 south to Highway 4 (before Dayton), Exit 54B High-
way 4 (East toward Springfield), Take third exit (Stan-
                                                                                             Music By...                                  Save the Date                                                                     Category: Single Rider _____ Tandem/Pair(2) ______
ley/Findlay), Right on Findlay (south) over the river (2                                                                                                                                                                              Family Rider(3+) ________ Team Rider(4)______
blocks), Arrive 425 N Findlay (Life Enrichment Center).                    Nick Cardilino                                                 * The 2nd Annual Tom and Kacie Hausfeld                                                     Club/Organization(5-20) ______
                                                                                                                                          Memorial Volleyball Tournament - July 24, 2011
From the south                                                                                    Although Nick has been involved                                                                                           Registration Fees: Categories                          Fee
                                                                                                  in music since childhood, he            * Viva la Vita 2011 - Abby Johnson - Sept. 9, 2011
                                                                                                  only started writing seriously in                                                                                                               Individual Rider                 $25
I-75 north through Dayton to Highway 4, Exit 54B High-
                                                                                                  college, when he co-wrote two                                                                                                                   Tandem/ Pair (2)                 $45
way 4 (East toward Springfield), Take third exit (Stan-                                                                                                                                                                                           Family Riders (3+)               $65
ley/Findlay), Right on Findlay (south) over the river (2
                                                                                                  musicals that were produced at
                                                                                                  his church. Since then he has re-
                                                                                                                                                                    Partners                                                                      Team Riders (4)                  $95
blocks), Arrive 425 N Findlay (Life Enrichment Center).                                                                                                                                                                                           Club/Organization (5-20)         $20 ea
                                                                                                  leased three of his own albums,
                                                                                                  had songs featured on three song-                                                                                         No increase in fees!!!
From Downtown Dayton                                                       writer compilation albums, had songs cut on albums by                                                                                            PLEDGES ARE VOLUNTARY AND APPRECIATED!
                                                                           recording artists Sean Clive, Teresa Smith, Amplify, and                                                                                         BRING PLEDGES RIDE DAY.
First Street east to Findlay (Past Keowee), Left (North) on                Alisha Lynn, and was part of two teams that won Tune-                                                                                            Motivation for most collected pledge total (Minimum $100 to qualify
Findlay over railroad (2 blocks).                                          smith songwriting competitions in Nashville in 2005 and                                                                                          for prizes):
                                                                           2006. His original song “Call to Glory” will serve as the                                                                                        •     One Huffy bicycle/UD fan basket for top pledge amount - each category
      Dayton Right To Life strives to protect the rights of the unborn,
        the elderly, the mentally handicapped, the disabled and the        anthem for the 2011 National Catholic Youth Conference                                                                                           •     One bicycle helmet for each member in category for second highest
     terminally ill through our legislative efforts, education, outreach   Nov. 17-19, 2011.                                                                                                                                      pledge amount.
      programs and research. Our mission is to promote life through                                                                                                                                                             Checks payable to: Greater Dayton Pro-life Education Foundation
                           education and action.
                                                                                                                                                                                                    H i g h   S c h o o l

To top