Nevada Eliminate Bike/Run/Walk Event is a fund raising event hosted by the Nevada Kiwanis Club. Participants choose either the 13 or 32 mile route for thecoordinated bicycle ride. The run/walk event is a 5 K event that will be held on the hard surface scenic trail winding along thecreek over to Lincoln Highway. There will be rest stops located on the route for all of the events. The money raised in this event will be used to help eliminate maternal/neonatal tetanus "MNTfrom the face of the earth, protecting some of the world's most vulnerable people.

Registration Includes:

  • Bike Ride/Run/Walk entry
  • Complimentary event bag
  • Free Bicycle check
    by Skunk River Cycles
  • Route Map
  • SAG Wagon
  • Pasta lunch
  • rest stops
  • Drawing of prizes

Registration Costs:

  • $ 25.00 for Bike/Run/Walk event

($30.00 after May 31st)

  • $15.00 for Student age 13 - 18
  • $50.00 for Family

(This includes 2 parents and any children under 12 years of age)

Mail Entry fee along with Official Entry Form to:

NevadaKiwanis Club

1138 South J South Ave

Nevada, IA 50201

Make checks payable to:
NevadaKiwanis Club

Contact: Jody Melcher 515-382-5811

e-mail:

Date:Saturday,June 9th, 2012

Time: All event Check in: 7:30 - 10:00am

32 Mile Start: 8:30am

13 Mile Start 10:00am

Run/walk Start: 10:00am

Location:

Check in–Memorial Lutheran Church, 701 11th Street, Nevada, Iowa

Ride ends -same location

Special Notes:

  • Helmets are required
  • THIS EVENT WILL BE HELD RAIN OR SHINE!

2012 REGISTRATION FORM

NAME______

ADDRESS______APT#______

CITY______STATE______ZIP______

PHONE______

EMAIL______

Participant Waiver and Release:

I acknowledge that participating in this event may be a major test of a person’s physical and mental limits and carries with it the potential for serious injury, death and/or property loss. I hereby assume, for myself and/or minor child, all the risks of participating in this event. I certify that I and/or my minor child and/are physically fit, have sufficient training for participation in this event and have not been advised otherwise by a qualified medical professional. I acknowledge that this Waiver will be used by the Nevada Kiwanis Club, the City of Nevada, Iowa and any event holders, sponsors, and organizers to govern my actions and responsibilities and/or those of my minor child as this event.

In consideration of my and/or my minor child’s application and being permitted to participate in this event, I hereby take action for myself and/or my minor child, our executors, administrators, heirs, next of kin, successors and assigns, to waive, release and discharge the Nevada Kiwanis Club, the City of Nevada, Iowa, event holders, sponsors, and organizers, from any and all liability for my and/or my minor child’s death, disability, personal injury, property damage, property theft or actions of any kind which may hereafter accrue to me, including my travel to and from this event. Also, I hereby Indemnify and Hold Harmless the entities or persons mentioned in this paragraph, from any and all liabilities or claims made by other individuals or entities as a result of or relating to my and/or my minor child’s attendance at or participation in this event.

I hereby authorize for myself and/or minor child any medical treatment, including the administration of anesthesia, deemed advisable by any licensed physician to relieve and injuries received or illness contracted as participant or observer at this event.

I hereby certify for myself (and on behalf of my minor child) that I have read this document and understand and agree to its content.

Name:______

Signature:______
Date: ______

The Eliminate Project: Kiwanis eliminating maternal/neonatal tetanus "MNT". Every 9 minutes, an infant somewhere in the world dies from neonatal tetanus, which infects newborns, spreading quickly, causing terrible pain and killing within days. It's a cruel disease, preventing even the comfort of a Mother's touch, but it's highly preventable. The goal of this global Kiwanis project is to raise $110 million by 2015 in order to eliminate MNT from the face of the earth, protecting some of the world's most vulnerable people. Just $1.80 can protect a woman and her children from this horrible disease. Kiwanis International President stated, "Kiwanis believes that no baby or mother should have to suffer the devastating effects of MNT". Your registration fee will save the lives of ALL future children of at least 13 women. Thank you for your support!

Nevada Kiwanis Club
BicycleRide

Run/Walk Event

SATURDAY,

June 9th, 2012

Bike Ride

8:30 & 10:00am

Run/Walk

10:00am