(rain date May 22) CoeBRAT Entry/T-shirt Order Form
Kohawk fellowship… food… Last Name: ____________________________
drink…prizes…bicycling…fun for all! First Name: ___________________________ This occasional event is sponsored by the Coe Year if Coe alum:___ Birthdate: ____________ College Alumni Office, Coe GOLD (graduates of Address: ______________________________ the last decade) and Team CoeBRAI. Business sponsors include each stop along the ride and Email Address: _________________________ Northtowne Cycling & Fitness, 1150 Blairs Ferry Phone Number: ________________________ Rd. NE. Emergency Contact
Up to 30-mile paved trail/city road ride – Name: ________________________________
registration begins at 11 a.m. at Clark Alumni Relationship to You: _____________________ House. Event T-shirts and route maps provided at Phone Number: ________________________ registration. Post-ride dinner by Sodexo in “The U” is included in fee. Circle your shirt size: S(30-32) M(34-36) L(38-40) XL(42-44) XXL(46-48) Poker ride – participants receive a playing card at each of seven stops. Three best 5-card hands win Entry fee: May 1 deadline: ___$20 rider ___$15 non-rider (T-shirt only) 2010 CoeBRAI jersey. Door prizes awarded by Make check payable to Coe College random draw at post-ride dinner party (must be Mail to: Coe College Alumni Office present to win). Food/drink specials at each stop 1220 First Ave. NE (cost not included in registration). Cedar Rapids, IA 52402 HELMET USE IS REQUIRED! Ride schedule: Waiver: In consideration of acceptance of this Contacts: entry, I, intending to be legally bound hereby, for Noon – Brewed Awakenings Coffeehouse Admission Counselor Chris Paasch ’06 myself, my heirs, executors, and administrators, 1271 First Ave. SE 319-399-8801 or cpaasch@coe.edu waive and release any and all right and claim for 12:50 p.m. – Sykora Bakery Team CoeBRAI captain Lonnie Zingula damages I may have or that may hereafter accrue to 73 16th Ave. SE me against all sponsors, supporters and officials 319-399-8613 or lzingula@coe.edu associated with Coe College or the City of Cedar 1:40 p.m. – Jerseys Pub & Grub Rapids, their representatives, successors, and assigns 5761 C St. SW for any injuries incurred by me during, because of, 2:30 p.m. – Chrome Horse Saloon or in travel to or from the Coe Bike Ride Across Town. 1202 Third St. SE Registration and fee due by May 1. Anyone ________________________________________ 3:20 p.m. – Casa Las Glorias registering late will not receive an event T- 2245 Blairs Ferry Rd. NE Signature of Rider Date shirt. T-shirt only option available. 4:10 p.m. – Parlor City Pub & Eatery ________________________________________ 1125 Third St. SE Bicycle helmets required! Signature of Guardian/Parent (if minor) 5 p.m. – “The U” Lower Gage Memorial Union Please submit a separate entry for each rider.