Form Center

You are not required to create a City user account, but using one allows you to save progress and have a record of previously submitted forms. Sign in before filling out a form and Save frequently. Tip: if you receive errors while completing a form, verify that you have filled in all fields with an asterisk as those are required fields.
By signing in or creating an account, some fields will auto-populate with your information and your submitted forms will be saved and accessible to you.

Walk and Wheel Bike Tour Registration - June 11, 2016

  1. Walk and Wheel

  2. Pre-event registration will be accepted through June 10, 2016 at 12:00pm. On-site, day-of sign up will be available on a first-come basis. Participation numbers are limited. Please contact us if you need to cancel your reservation so others may attend, or if you have other questions - debbiew@cityoflafayette.com .

  3. We require an email address to correspond with you regarding any schedule changes or information updates. You will receive an email reminder and any updates on June 10.

  4. PLEASE REGISTER FOR A SPECIFIC RIDE DEPARTURE TIME*

    Guided rides will leave promptly at the indicated time. Meet your tour guide at the Walk and Wheel information table. Plan to arrive 15 minutes prior for sign in. Please bring your own bikes and helmets. Helmets are required for all riders.

  5. Children must be accompanied by a guardian.

  6. IN CONSIDERATION of being given the opportunity to participate in THE WALK AND WHEEL BIKE TOUR activities ("Activity") until the end of this calendar year, I, for myself, my personal representatives, heirs, and next of kin ACKNOWLEDGE, agree, and represent that I understand the nature of the program Activities, and that I am qualified, in good health, and in proper physical condition to participate in such Activity; I FULLY UNDERSTAND that: (a) ACTIVITIES INVOLVE RISKS AND DANGERS; (b) these risks and dangers may be caused by my own actions, or inactions, the actions or inactions of others participating in the Activity, the condition in which the Activity takes place, or the negligence of the Releasees named below; (c) there may be other risks and social and economic losses either not known to me or not readily foreseeable at this time; and I FULLY ACCEPT AND ASSUME ALL SUCH RISKS AND ALL RESPONSIBILITY FOR LOSSES, COSTS, AND DAMAGES I incur as a result of my participation in the Activity; I AGREE AND WARRANT that I will examine and inspect each Activity in which I take part and that, if I observe any condition which I consider to be unacceptably hazardous or dangerous, I will notify the proper authority in charge of the Activity and will refuse to take part in the Activity until the condition has been corrected to my satisfaction; I HEREBY RELEASE THE CITY OF LAFAYETTE, their administrators, directors, agents, officers, volunteers, and employees, other participants, any sponsors, advertisers, and, if applicable, owners and lessors of premises on which the Activity takes place, (each considered one of the Releasees herein) from all liability, claims, demands, losses, or damages on my account caused or alleged to be caused in whole or in part by the negligence of the Releasees or otherwise, including negligent rescue operations; and further agree that if, despite this release and waiver of liability, assumption of risk, and indemnity agreement, I, or anyone on my behalf, makes a claim against any of these Releasees, I WILL INDEMNIFY, SAVE, AND HOLD HARMLESS each of the Releasees from any litigation expenses, attorney fees, loss, liability damage, or cost which any may incur as the result of such claim.

  7. MINOR RELEASE WAIVER*

    The minor’s parent and/or legal guardian understand the nature of bicycling activities and the minor’s experience and capabilities and believe the minor to be qualified, in good health and in proper physical condition to participate in such activity. I hereby release, discharge, covenant not to sue, and agree to indemnify and save and hold harmless the City of Lafayette (“City”), its officers, employees, volunteers, and self-insurance pool (“releasees”) from any and all liability, claims, demands, losses, or damages on the minor’s account caused or alleged to be caused in whole or in part by the negligence of the City of Lafayette, or otherwise. I further agree that if, despite this release, I, the minor, or anyone on the minor’s behalf makes a claim against any of the releasees, I will indemnify, save, and hold harmless the releasees from all liability from any litigation expenses, attorney fees, loss liability, damage, or any cost that may incur as the result of any such claim.

  8. Would you like to receive activity notifications and updates about the Walk and Wheel project and route?

    (Your email address will not be automatically included unless you select yes.)

  9. Leave This Blank:

  10. This field is not part of the form submission.