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Thank you for your interest in Boneshaker Project Youth Cycling Team!

• We have 12 spots available for the Summer/Fall 2014 with Coach Will Ross • All athletes should be between race ages of 10-15 years • You must be able to ride a bike • Prior bike racing experience is not required! • Please mail/email the application, code of conduct & release forms to:

riley@boneshaker.org • Please mail check (made out to Boneshaker Project) for $200 to:

Boneshaker Project 301 Congress Ave., Suite 1250

Austin, TX 78701 Attn: Youth Bike Team

• The team jerseys are being designed and ordered now, arrival in

approximately 5 weeks. • The summer practices will be held on Saturdays or Sundays depending on

schedules. • Coach Will Ross will announce the late summer/early fall race schedule once

the team is coordinated. • Monthly team dues are $100 and should be paid by check by the 1st of each

month. (June dues can be mailed with entry fee.) • You should always consult a doctor before starting a new exercise program

If you/your parents are requesting financial support to participate in our program, please send an email outlining the situation, your inspiration to participate and your needs (bike, equipment, uniform, coaching fees) to Executive Director Riley Gerber riley@boneshaker.org and we’ll be in touch.

We are committed to our mission: To give all kids the chance to feel physically strong from an early age.

Youth Bike Team Application Application Date __________________ Child’s Name ______________________________________________ Race Age*:______________ USA Cycling #_______________ (* the age on 12/31/14) Home Address:______________________________________ City/State/Zip: _______________________________________ Parents Names:_____________________________________________________ Email Addresses:____________________________________________________ Contact Phone Numbers/& In case of Emergency:______________________________________ Parent’s Signature ________________________________ Date _______________________

Child: What Grade are you entering? _______ What School ?___________________________________ Are you currently meeting school’s academic/conduct standards for Sports Participation? Y or N Cycling Experience: How many years have you been riding your bike?____________ Have you ever raced? MTN ROAD CRIT CX BMX TRI (circle all that apply) What bike(s) do you have?_________________________________________________________ Why do you want to be on the Boneshaker Team? ______________________________________________________________________________! ______________________________________________________________________________ _____________________________________________________________________________

Boneshaker Kids Cycling Team

2014 Rider Code of Conduct

Rider Requirements. Riders, and a parent/guardian, who desire to be a part of Boneshaker Kids Cycling Team must complete the following during the term: Volunteer for a minimum of 2 hours per quarter at following Organization sponsored events: Boneshaker family events, camps or field days, or such other events as Organization deems to be acceptable substitutes. Organization reserves the right to waive any of the foregoing requirements with respect to any Rider and to consider each individual Rider’s contributions to Organization, the community and the sports of cycling, multi-sport and running as acceptable substitutes for the foregoing requirements. Riders will be eligible to receive 2 team jerseys, one shirt and one cap. Additional items may be purchased through the Organization. The Riders will need to provide other uniform pieces such as bibs/shorts, shoes, gloves, helmets, bikes, and sunglasses, as prescribed by the Coach, on their own. Some scholarship for these items may be available. Additionally, the Organization will provide entry fees to all team-planned races, however the Rider will need to purchase appropriate USA Cycling licenses for said races under the Boneshaker USA Cycling Team Number.

1. Riders will, at all times, represent Organization and its sponsors in a professional manner by way of appearance, demeanor and well-maintained equipment. 2. Riders will wear the Team jersey at all weekly group rides, including all Team training rides, and at all race events. Team jersey and kit will be clean and without significant tears or other damage. 3. RIDERS WILL WEAR A HELMET AT ALL TIMES WHILE ON THEIR BIKE, SETTING AN EXAMPLE FOR OTHERS AND FOLLOWING TEXAS LAW. 4. Riders will at all times, practice good sportsmanship and conduct themselves in a professional manner when representing Organization. Riders will be respectful and polite to all cyclists, runners, race officials and volunteers, drivers, pedestrians, etc. Team members will assist stranded or injured cyclists, and under no circumstances will Riders, while representing Organization and Club, antagonize others or in any way engage in behavior that could be considered disrespectful or derogatory of others. Use of foul language, unsafe riding, and other obvious forms of poor sportsmanship will result in termination of the Rider Agreement. 5. Riders will obey all traffic regulations as enforced by the Texas Department of Public Safety, City Police, and all relevant local authorities while on individual or group training rides or as instructed during a sanctioned races. 6. Riders will be positive role models for other juniors and new riders, with the aim of promoting the sports of cycling, triathlon/duathlon and running. 7. Riders will generally promote the best possible image for Organization and its sponsors by supporting the services of Organization’s sponsors, whose financial and moral support has facilitated Organization’s and its Rider’s personal successes. 8. Riders will report any individual race results to the Coach Will Ross via email at will@boneshaker.org by the Sunday night immediately following the race or Monday night if the event is held out of the area.

9. When accessing and using the Organization website, Riders will adhere to all use policies maintained by the site administrator. 10. Following of, and engagement with, Boneshaker Project social media sites are recommended for Riders and their families to uphold the image and mission of the Organization, and practice safe, responsible and “age appropriate” use of social media. Facebook: BoneshakerProject Twitter: @BoneshakerTX Instagram: @BoneshakerTX 11. Riders must be “academically eligible” by the standards of their school district to participate. 12. Riders may be asked to participate in periodic questionnaires and testing. Examples may include height, weight, speed, agility, nutrition, hydration, sleeping, and other exercise/movement habits. This data may be used as research statistics as part of seeking grant funding for our programs, but will be 100% anonymous. Results will not be available on an individual basis.

RIDER BONESHAKER PROJECT By: By: Name:

Name:

Address: Title: Date: Cell #: (Execution Date) Email: Parental Guardian (if under 18): Signature:

Cell#: Email: Preferred Racing CAT: Racing Age: Clothing Size Tshirt:____________Jersey:____________

Sign___________________________________ Date:

Welcome to the TEAM! Shake your bones!

Event Registration (Please print clearly)

Name of Participant: _________________________________________________________________

Parent’s Name(s): ____________________________________________________________

Address: _______________________________Email: _______________________________

City/St/Zip: _____________________________________Phone:_______________________

I’m (We’re) also interested in:

� Hearing about other Outdoor Family Activities around Austin � Learning more about Fun/Fit Lifestyle � Austin-Area Middle School Bike Team

� Fun Fitness Activities by Boneshaker Project

PERSONAL APPEARANCE RELEASE

Boneshaker Project is a 501(c)(3) organization, and as such, is in the business of actively seeking donations and raising funds for programming, sharing messaging and operational costs. We have a strong and active social media element to our programming that includes such outlets as Instagram, Facebook, Twitter, as well as our own website: www.boneshaker.org. Additionally, our captured images from outreach programs will be used in applications for grants and donations sought from governments, corporations, individuals and foundations.

I hereby authorize Boneshaker Project to record and edit into their programs and related materials my name, likeness, image, voice and participation in and performance in print, on film, tape or otherwise for use in the above program or parts thereof (the “Recordings”). I agree that the program may be edited and otherwise altered at the sole discretion of the Boneshaker Project and used in whole or in part for any and all broadcasting, non-broadcasting, audio/visual, and/or exhibition purposes in any manner or media, in perpetuity, throughout the world.

____________________________________ DATE SIGNED: ______________________ Signature of Person Appearing (or parent or Guardian, if under 18)

YOU CAN FOLLOW US ON FACEBOOK, INSTAGRAM & TWITTER & @BONESHAKER.ORG

AMATEUR ATHLETIC WAIVER AND RELEASE OF LIABILITY

READ BEFORE SIGNING

In consideration of being allowed to participate in any way in Boneshaker Project’s athletic sports program, related events and activities, the undersigned acknowledges, appreciates, and agrees that:

1) The risk of injury from the activities involved in sports programs is always possible, including the potential for permanent paralysis and death, and while particular rules, equipment, and personal discipline may reduce this risk, the risk of injury does exist; and,

2) I KNOWINGLY AND FREELY ASSUME ALL SUCH RISKS, both known and unknown, EVEN IF ARISING FROM THE NEGLIGENCE OF THE RELEASEES or others, and assume full responsibility for my participation; and,

3) I willingly agree to comply with the stated and customary terms and conditions for participation. If, however, I observe any unusual significant hazard during my presence or participation, I will remove myself from participation and bring such to the attention of the nearest official immediately; and,

4) I, for myself and on behalf of my heirs, assigns, personal representatives and next of kin, HEREBY RELEASE AND HOLD HARMLESS Boneshaker Project, their officers, officials, agents, and/or employees, other participants, sponsoring agencies, sponsors, advertisers, and if applicable, owners and lessors of premises used to conduct the event (“RELEASEES”), WITH RESPECT TO ANY AND ALL INJURY, DISABILITY, DEATH, or loss or damage to person or property, WHETHER ARISING FROM THE NEGLIGENCE OF THE RELEASEES OR OTHERWISE, to the fullest extent permitted by law.

I HAVE READ THIS RELEASE OF LIABILITY AND ASSUMPTION OF RISK AGREEMENT, FULLY UNDERSTAND ITS TERMS, UNDERSTAND THAT I HAVE GIVEN UP SUBSTANTIAL RIGHTS BY SIGNING IT, AND SIGN IT FREELY AND VOLUNTARILY WITHOUT ANY INDUCEMENT.

______________________________________ DATE SIGNED:_______________ (Participant's Signature) Emergency Phone Number: (________)_________________

FOR PARTICIPANTS OF MINORITY AGE (UNDER AGE 18 AT THE TIME OF REGISTRATION) This is to certify that I, as parent/guardian with legal responsibility for this participant, do consent and agree to his/her release as provided above of all the Releasees, and for myself, my heirs, assigns, and next of kin, I release and agree to indemnify and hold harmless the Releasees from any and all liabilities incident to my minor child's involvement or participation in these programs as provided above, EVEN IF ARISING FROM THEIR NEGLIGENCE, to the fullest extent permitted by law.

_______________________________________DATE SIGNED:_____________________ (Parent/Guardian Signature)