Registration for “Bike to the Lake” 2017

August 5, 2017

To register, please follow these steps below.

  • Complete the Registration and Waiver Form below.
  • Pay online or mail a check for $235 made out to Partners in Mission to:

Alcock Development Co
134 N. LaSalle Street, Suite 170
Chicago, Il 60602

Can’t Ride but want to support a rider? Click here:   Support A Rider

Questions? Contact “Bike to the Lake” coordinator Gary Alcock at:

  • Personal Information

    Items marked with an "*" require a response.
  • Please provide an additional email address different from the one above if possible.
  • For overwhelming safety reasons we strongly suggest you carry a cell phone during the event at all times. If you don't have one, type "NO CELL".
  • Emergency Contact Information

  • Included with registration
  • (food allergies, lactose intolerant, vegetarian/vegan, Kosher, etc.)
  • (special lodging requirements, travel plans, transportation of bike trailers or shipping containers, disability accommodations, etc.)

  • Please select where you will start the ride from. All riders must initially check in in Glen Ellyn. If you indicate you will start the ride in Elgin, 50 mile riders, we will transport you, your bicycle, and a small personal bag from Glen Ellyn to Elgin before the start of the ride. All riders will finish the event at the Abbey Resort in Lake Geneva, WI.

  • Includes transportation for you, your bicycle, and your baggage from Lake Geneva back to Glen Ellyn. 

  • What type of bicycle do you plan on riding?
  • Agreement, Waiver & Release of Liability

  • I, the undersigned, know that the event is a potentially hazardous activity and I attend it out of my own free will and choice. In choosing to attend the event and any related events, I fully accept and assume all risks, whether before, during or after the event and its related events. These include, without limitation, physical injury, mental injury, emotional distress, trauma, sickness, illness, death, contact with other participants, equipment failure, inadequate safety equipment, the effects of weather including extreme temperature or conditions, traffic, contact with other riders or fixed objects, the conditions off the road, camping, and participating in events along the route. All risks are known and appreciated by me. I shall assume and pay my own medical and emergency expenses in the event of injury, illness, or other incapacity regardless of whether I authorized such expenses.

    I agree to abide by all of the event rules, regulations, policies and procedures as published on the web site and/or as directed by the ride director and that my participation in the event may be temporarily or permanently terminated for any failure to do so. I realize that the event 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, which would endanger others or myself. I understand and agree that a situation may arise during the event which may be beyond the control of the sponsors, promoters or organizers. I will be solely responsible for the condition and adequacy of my bicycle, safety gear and riding equipment. 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 either myself or others. I understand that the specific routes provided to me to follow during the event are the proprietary, copyrighted, confidential intellectual property of Bicycle Illinois and are only for my private, personal use during the event. I agree not to disclose any information regarding any route in any means - electronic, printed, or otherwise. I agree that I will wear a Snell or ANSI approved bicycling helmet at all times while riding in the event.

    I grant Bicycle Illinois and Partners in Mission (PIM US) the unrestricted right, license, and authority to display, record, and/or otherwise use my image, voice, likeness and/or any depiction of mine in whole or in part for any purpose at Bicycle Illinois's sole discretion, including, but not limited to, any account, description, picture, video, audio, reproduction or other information related to the event.

    Knowing these facts and in consideration of my entry acceptance, admission to and/or participation in the event, I, for myself and anyone acting on my behalf, release, waive, discharge, covenant not to sue and agree to hold Partners in Mission, Bicycle Illinois sponsors and participating clubs, communities and organizations; Bicycle Illinois officials, emergency and support personnel, volunteers and their representatives; directors, employees, representatives, agents, and successors of all of the above, harmless from any and all claims, demands and actions of any and every kind 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 attending or participating in the event and its related events. 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 (a) caused by any act, or failure to act, by the above-identified persons and entities or (b) sustained by me before, during or after the event and its related events. I further agree to indemnify and hold the parties released above harmless from any and all losses, damages, claims and expenses, including attorneys' fees, arising from or relating in any respect to my participation in the event or its related events or my breach of this agreement. If I am a minor, my parent or guardian also is signing on my behalf and we both agree to be bound by the terms of this agreement, waiver and release.
    After hitting the "Register Now" button you will be directed to a page where you can pay online or instructions for paying by check.