Name *

First Name

Last Name

Phone (we'd like to text you about events)

(###)

###

####

Address (we need this to send you stuff)

Address 1

Address 2

City

State/Province

Zip/Postal Code

Country

18 years of age or older? *

By checking this box, are are indicating that you are over 18 years of age.

Liability Release *

Organization: Framework Arts Project: The League of Reluctant Bicyclists Date: March 15th though April 30th, 2019 I understand that participation in the above event or activity could include actions or tasks which might be hazardous. By signing below, I assume any risk of harm or injury which might occur to the participant due to his/her/my participation in the event or activity. I release Framework Arts from all liability, costs and damages which might arise from participation in the above named event or activity. I hereby grant permission to Framework Arts to use photographs and/or video of me taken as part of the League of Reluctant Bicyclists project in publications, news releases, online, and in other communications related to the mission of Framework Arts.

By checking this box, you agree to this liability release.