Dice Run Pre-Registration Riders*Single RiderRider w/ PassengerRIDER 1 INFORMATION First Name* Last Name* Email_1* Phone* Rider 1 Signature*Clear DateRIDER 2 INFORMATION First Name(1) Last Name(1) Email_2 Phone(1) Rider 2 SignatureClear Date Rider 2SHIRT SELECTION Rider 1 Shirt SizeSelect valueSmallMediumLargeXL2XL3XL4XL Rider 2 Shirt SizeSelect valueSmallMediumLargeXL2XL3XL4XLWAIVER: I assume the risks associated with my participation in this event, including but not limited to; falls, contact with other participants, the effect of weather and traffic, and all such risks being known and appreciated by me. Having fully read this waiver, knowing these facts, and in consideration for your accepting my entry to participate in this G.O.C. event (herein after known as “the event”) to be held on July 19th, 2025. I, with the intent of being legally bound, do hereby for myself, my heirs, my executors and administrators agree as follows:1. I do waive and forever release any and all rights and claims for any damages and liabilities of any king arising out of my willing participation in this event against all persons, entities, agencies involved with promoting and holding the event, their agents, successors, representatives, and assigns even though that liability may rise from negligence or carelessness on the part of the person named in this waiver.2. I assume the risk of all bodily injury, including death resulting therefrom, personal injuries to me and damage to and loss of my property, including loss of use thereof and any other indirect or consequential damages, resulting direct or indirect, wholly or in part from my participation in the event, as well as while traveling to and from the event.3. I hereby agree for myself and /or for a minor under the age of eighteen for whom I am signing for, to indemnify, defend, and hold all entities named above harmless from and against any and all claims, liabilities, losses, damages, costs and expenses to include attorney’s fees, judgements and penalties arising out of any of my and/or said minors acts or omissions to act.4. I understand that the event reserves the right to use any and all participant’s names, pictures, and /or likeness with regard to promotional and /or advertising materials. Waiver*I Agree TotalPlace OrderReset