“Option A” Bubba’s PAMPERED Pedalers Charter …

1 Option A bubba s PAMPERED Pedalers Charter Registration RAGBRAI 2020 Service starts at ending town and includes transportation to starting town Please Type in Information Name:_____ Male :_____Female:_____ Address:_____ Age_____ Birth Date _____/_____/_____ City, State & Zip:_____ Home Phone:_____ Email Address:_____ Cell Phone: _____ Emergency Contact Name: _____ Address: _____ Cell Phone:_____ City, State, Zip: _____ Relationship to you: _____ Medical Conditions Do you have any medical conditions you wish to share and make bubba aware of? If so, please Will you be using this Charter for Iowa s Ride the week before? ___Yes ___Np I will be riding: Up-Right: ___ Tandem: _____ Recumbent: ____ Trike:____ Fees which covers everything mentioned in information letter Single in Regular Tent with One Twin Mattress: ___ $780 Single in bubba Dome with One Twin Mattress: ___ $890 Double in Regular Tent with One Queen Size Mattress.

2 ___ $690 per rider Double in bubba Dome (please select) Two Twin ____ Queen Mattress____ ____$760 per rider If registering as a double occupancy, both registrations must be mailed together. The bubba Dome is really large tent which allows you to stand and move about. A very popular upgrade. Total Fee:_____ Registration fee must be paid in full at time of registration Make check payable and send to: Please remember to use Sunscreen. Melanoma KILLS PO Box 292157 Tampa, FL 33687 Cancellation Policy: bubba understands things happen which are out of your control. If you cancel on or before May 20 you will receive a full refund minus a $300 cancellation fee.

3 Sorry, due to contractual obligations no refund will be offered for ANY REASON after May 20. Trip insurance is available through various carriers. Please do not ask after May 20, it just cannot happen. If you do not get a confirmation email within two weeks of registering, please email to make sure your registration form was received. Print Name: _____Signature:_____ Registration must be accompanied with a signed waiver form in order to be accepted Option B bubba s PAMPERED Pedalers Charter Registration RAGBRAI 2020 Please Type in Information For riders starting Iowa s Ride at the starting town and not needing transportation.

4 This Charter does not offer transportation back to the starting town after the event Name: _____ Male: _____Female:_____ Address: _____ Age_____ Birth Date _____/_____/_____ City, State & Zip: _____ Home Phone:_____ Email Address: _____ Cell Phone: _____ Emergency Contact Name: _____ Address::_____ Cell Phone:_____ City, State, Zip::_____ Relationship to you: _____ Medical Conditions Do you have any medical conditions you wish to share and make bubba aware of? If so, please Will you be using this Charter for Iowa s Ride the week before? ___Yes ___No Fees which covers everything mentioned in information letter except transportation to the start Single in Regular Tent with One Twin Mattress: ___$750 Single in bubba Dome with One Twin Mattress: ___$840 Double in Regular Tent with One Queen Size Mattress: ___ $660 per rider Double in bubba Dome (please select) Two Twins __ Queen Mattress__ ___ $720 per rider If registering as a double occupancy, both registrations must be mailed together.

5 The bubba Dome is a really large tent which allows you to stand and move about. A very popular upgrade. Total Fee:_____ Registration fee must be paid in full at time of registration Make check payable and send to PO Box 292157 Tampa, FL 33687 Cancellation Policy: bubba understands things happen which are out of your control. If you cancel on or before May 20 you will receive a full refund minus a $300 cancellation fee. Sorry, due to contractual obligations no refund will be offered for ANY REASON after May 20. Trip insurance is available through various carriers. Please do not ask after May 20, it just cannot happen.

6 If you do not get a confirmation email within two weeks of registering, please email to make sure your registration form was received. Print Name: _____Signature:_____ Registration must be accompanied with a signed waiver form in order to be accepted bubba s PAMPERED Pedalers Charter Waiver and Release This waiver is a contract with legal consequences. Please read carefully. I, the undersigned, know that bubba s PAMPERED Pedalers Charter is a potentially hazardous event, and attend it out of my own free will and choice. In choosing to be part of bubba s PAMPERED Pedalers Charter and any related events or activities, I fully accept and assume all risks, whether before, during or after bubba s PAMPERED Pedalers Charter and/or related events or activities.

7 These include, without limitation, risk of physical injury mental injury, mental stress, emotional stress, trauma, death, contact with other participants, equipment failure, inadequate safety equipment, effects of weather including extreme temperature or conditions, traffic, contact with motor vehicles of all types and descriptions, collision with other riders or fixed or moving objects, the conditions of the roads, theft, camping and participating in events or activities along the route. All risks are known, understood, and appreciated by me. I waive any and all specific notice of the existence of risks. I agree that leaders and maps are provided for my convenience only and do not guaranty a safe route or trip.

8 I shall assume and pay my medical and emergency expenses in the event of injury, illness or other incapacity regardless of whether I authorized such expense. I realize bubba s PAMPERED Pedalers Charter requires physical conditioning and I represent that I am in sound medical condition capable of participating in the ride without risk to myself or others. I have no medical impediment that would endanger me or others. I understand that situations may arise during bubba s PAMPERED Pedalers Charter that maybe beyond the control of sponsors, promoters and organizers. I will be solely responsible for the condition and adequacy of my bicycle, safety gear and riding equipment.

9 I will ride safely within the limits of my own abilities, my equipment and the riding conditions and in a manner so as not to endanger myself or others. Knowing these, facts and in consideration of my entry, acceptance, admission and to and participation in bubba s PAMPERED Pedalers Charter and its related events and activities, I, for myself and anyone acting on my behalf, waive, release, discharge, indemnify, covenant not to sue and agree to hold bubba s PAMPERED Pedalers Charter , the staff of bubba s PAMPERED Pedalers Charter , bubba s PAMPERED Pedalers , the staff of bubba s PAMPERED Pedalers , any and all sponsors, communities, organizations, bubba s PAMPERED Pedalers Charter .

10 bubba s PAMPERED Pedalers employees-representatives-volunteers agents-insurers-insurance brokers and successors of all above, harmless from any and all claims, demands and actions of any and every kind that I have, may have or may hereafter accrue against the released parties, directly or indirectly, arising out of or relating in any respect to my attendance or participation in bubba s PAMPERED Pedalers Charter and its related events and activities, including, without limitation, litigation expenses, attorney fees, loss liability, damages or cost. My waiver and release of all claims, demands, actions and liability shall include, without limitation, any injury, damage or loss to my person or property which may be caused by any act, or failure to act, by the above identified persons and entities or sustained by me before, during or after bubba s PAMPERED Pedalers Charter and its related events and activities.