Please join us for our Ocooch Fall bike tour of the gorgeous hills surrounding Richland County. October 5th, 2019 – Event co-sponsored by The Richland Hospital Registration 9am – 10am | Tour starts at 10am | Bike Ride Flyer PDF Tentative Routes 46 mile route | 16 mile route | 8 mile route RegistrationIndividual RegistrationFamily RegistrationFamily of 3 · Children under 10 are free with an adult.Are you adding a child under 10?NoYesName* First Last AgeName First Last AgeName First Last AgeName of child under 10 years old First Last AgeName of child under 10 years old First Last AgePayment InformationName* First Last Address* Street Address Address Line 2 City AlabamaAlaskaArizonaArkansasCaliforniaColoradoConnecticutDelawareDistrict of ColumbiaFloridaGeorgiaHawaiiIdahoIllinoisIndianaIowaKansasKentuckyLouisianaMaineMarylandMassachusettsMichiganMinnesotaMississippiMissouriMontanaNebraskaNevadaNew HampshireNew JerseyNew MexicoNew YorkNorth CarolinaNorth DakotaOhioOklahomaOregonPennsylvaniaRhode IslandSouth CarolinaSouth DakotaTennesseeTexasUtahVermontVirginiaWashingtonWest VirginiaWisconsinWyomingArmed Forces AmericasArmed Forces EuropeArmed Forces Pacific State ZIP Code PhoneEmail* Registration Total $0.00 Release and Hold Harmless AgreementAs a participant in the Ocooch Fall Bike Ride, I recognize and acknowledge that there are certain risks of physical injury, and I agree to assume the full-risk of any injuries, damages or losses, which I may sustain or which I may cause to others as a result of participating in any and all activities connected with a this recreational activity. I waive and relinquish all claims that I may have as a result of participating in this event, against the Richland Hospital, Inc. and the County of Richland and their officers, agents and employees. I do hereby fully release and discharge the Richland Hospital, Inc. and the County of Richland and their officers, agents, and employees from any and all claims from injuries, damages or losses, which I may have or which I may cause to others during participation in the recreational activity. I agree to indemnify and hold harmless and defend the Richland Hospital, Inc. and the County of Richland and their officers, agents and employees from all claims resulting from injuries, damages and losses sustained during and arising out of, the activities of the fitness program. I have read and fully understand the above Release and Hold Harmless Agreement.Signature*CAPTCHACommentsThis field is for validation purposes and should be left unchanged. This iframe contains the logic required to handle Ajax powered Gravity Forms.