Profile image:
No profile image
Upload profile image
Your image will be resized if needed to a maximum dimension of 300 pixels width x 500 height automatically, but your image file should not exceed 4000 KB.
Select file
By clicking "Register", you certify that you have the right to distribute this photo.
Province / State:
Alberta
British Columbia
Manitoba
Newfoundland and Labrador
New Brunswick
Northwest Territories/
Nova Scotia
Nunavut
Ontario
Prince Edward Island
Quebec
Saskatchewan
Yukon Territory
Alabama
Alaska
American Samoa
Arizona
Arkansas
California
Colorado
Connecticut
Delaware
District Of Columbia
Florida
Georgia
Guam
Hawaii
Idaho
Illinois
Indiana
Iowa
Kansas
Kentucky
Louisana
Maine
Maryland
Massachusetts
Michigan
Minnesota
Mississippi
Missouri
Montana
Nebraska
Nevada
New Hampshire
New Jersey
New Mexico
New York
North Carolina
North Dakota
Ohio
Oklahoma
Oregon
Pennsylvania
Puerto Rico
Rhode Island
South Carolina
South Dakota
Tennessee
Texas
U.S. Virgin Islands
Utah
Vermont
Virginia
Washington
West Virginia
Wisconsin
Wyoming
Non-North American State
If Not in North America, state your province::
Country:
Afghanistan
Albania
Algeria
Andorra
Angola
Antigua and Barbuda
Argentina
Armenia
Australia
Austria
Azerbaijan
Bahamas
Bahrain
Bangladesh
Barbados
Belarus
Belgium
Belize
Benin
Bhutan
Bolivia
Bosnia-Herzegovinia
Botswana
Brazil
Brunei
Bulgaria
Burkina Faso
Burundi
Cambodia
Cameroon
Canada
Cape Verde
Central African Republic
Chad
Chile
China
Columbia
Comoros
Congo
Costa Rica
Croatia
Cuba
Cyprus
Czech Republic
Democratic Republic of Congo
Denmark
Djibouti
Dominica
Dominican Republic
East Timor
Ecuador
Egypt
El Salvador
Equatorial Guinea
Eritrea
Estonia
Ethiopia
Fiji
Finland
France
Gabon
Gambia
Germany
Ghana
Greece
Grenada
Guatemala
Guinea-Bissau
Guinea
Guyana
Haiti
Honduras
Hungary
Iceland
India
Indonesia
Iran
Iraq
Ireland
Israel
Italy
Ivory Coast
Jamaica
Japan
Jordan
Kazakhstan
Kenya
Kirabati
Kuwait
Kyrghyzstan
Laos
Latvia
Lebanon
Lesotho
Liberia
Libya
Liechtenstein
Lithuania
Luxembourg
Macedonia
Madagascar
Malawi
Malaysia
Maldives
Mali
Malta
Marshall Islands
Mauritania
Mauritius
Mexico
Micronesia
Moldova
Monaco
Mongolia
Morocco
Mozambique
Myanmar
Namibia
Nauru
Nepal
Netherlands
New Zealand
Nicaragua
Niger
Nigeria
North Korea
Norway
Oman
Pakistan
Palau
Panama
Papua-New Guinea
Paraguay
Peru
Philippines
Poland
Portugal
Qatar
Romania
Russia
Rwanda
San Marino
Sao Tome and Principe
Saudi Arabia
Senegal
Serbia and Montenegro
Seychelles
Sierra Leone
Singapore
Slovak Republic
Slovenia
Solomon Islands
Somalia
South Africa
South Korea
Spain
Sri Lanka
St. Kitts-Nevis
St. Lucia
St. Vincent and Grenadines
Sudan
Suriname
Swaziland
Sweden
Switzerland
Syria
Taiwan
Tajikstan
Tanzania
Thailand
Togo
Tonga
Trinidad and Tobago
Tunisia
Turkey
Turkmenistan
Tuvalu
Uganda
Ukraine
United Arab Emirates
United Kingdom
United States of America
Uruguay
Uzbekistan
Vanuatu
Venezuela
Vietnam
Western Samoa
Yemen
Zambia
Zimbabwe
Georgia
Why I am Riding (this info is posted on our total rider page):
Cell Phone on Day (Important):
Riding in 2010?:
Yes I Am Riding No I Am Not Riding
Type of Registration:
Individual Full Course
Individual Partial Course
Team Member
Riders of Tomorrow
Name of Team (if appropriate):
Course:
Full Course (Tip to Tip)
Leg 1
Leg 2
Leg 3
Leg 4
Leg 5
Have Not Decided
Custom Course
If Custom Course, please enter details:
Pace Team Status:
Rider Captain Not Interested
Start Location:
North Cape
Portage
Summerside
Charlottetown
St. Peters
Other
How did you find out about the event?:
TRANSPORTATION DEADLINE HAS BEEN REACHED NO FURTHER REQUESTS ACCEPTED
We provide transportation to the Start and from the Finish provided you have your request to us, as well as $20 per request , 14 days prior to the event date. We are also providing transportation Friday evening directly to the overnight accommodation. So, if you request transportation to the start location and from the end location, the total cost would be $40.
Interest in Carpooling:
Yes - as a Driver
Yes - as a Passenger
Yes - as a Driver or Passenger
No Thanks
We are offering accommodation at a rate of $30 per person / family unit. Style of accommodation is camping out in a school gymnasium, M.E. Callaghan. We have an adult space and a smaller family space for families with small children. A meal at 8 pm and entertainment at 9 pm. Lights out for adults at 11 pm.
Are You Staying Overnight at M.E.Callaghan School?:
Yes
No
If staying overnight, how many adults / non-little kids in your family?:
If you have small children, how many small children do you have who will be staying overnight?:
If staying overnight, do you need transport to North Cape?:
Yes
No
Not Staying Overnight
Every year it is a challenge to continue to organize the event with the increasing costs. Our goal is to ensure a low-cost participation fee in order that no one is weighed down with a high cost entry fee. For your info, we spend the following percentages for our event: Registration (21%); Refueling Stations (25%); Support Vehicles (39%).
There are many ways you can help:
Assist with Recruitment of Volunteers: volunteer drivers are in demand for the day as the day is just as demanding for the volunteer drivers as it is for the riders. Much thanks to riders who ask their partners / spouses / friends / colleagues to lend a hand and their heart on this day. It is one FUN day indeed. Go to www.bikingforbreakfast.com/volunteer for more info.
Sponsors: Many businesses and organizations are more ready to be approached by their own employees or by people they know. If you know of a business that would like to be associated with this event, please let Ken know. He will provide you with a Sponsorship Package that you can deliver. An extra $500 may not sound like much to a business but it delivers a lot of resources to our grassroots event.
There really is no limit on how you can even further help out before, during, or after the event. Tell Ken you are interested and it will make his day!
Do You Know of a Business that May Wish to Come on as a Sponsor?:
Do You Know of Someone Who is Able to Volunteer?:
Yes, I'll drop Ken an email now
I'll get back to you very soon
No
Able to Bring One Extra Tube?:
Yes - I'll bring one tube for the Common Tube Box
No, sorry
WAIVER, RELEASE & INDEMNITY :
I understand and agree that my participation in events, programs, races, or activities organized, operated, conducted and/or sanctioned by the Canadian Cycling Association and/or Provincial Associations and Various CCA Clubs and Members registered with CCA is conditional upon my execution of this document.
1. I am aware that cycling, and in particular competitive cycling, endurance and BMX racing, involves the possibility of injury or death.
2. I accept these risks, and all others arising from these events and programs, even if arising from the negligence, gross negligence or negligent rescue by those associated in any way with the Canadian Cycling Association events and programs I may be involved in, the venues at which these events and programs takes place or by those organizing, officiating, or participating in these events and programs throughout the year, including their respective officers, directors, employees, agents, servants, volunteers and representatives (the “Releasees”).
3. I understand that all applicable rules for participation must be followed and that SOLE RESPONSIBILITY FOR MY PERSONAL SAFETY REMAINS WITH ME, including my physical and emotional preparation and fitness to participate in all events and programs throughout the year.
4. I undertake and agree to remove myself from participation if I sense or observe any unusual hazard or unsafe condition, or if,
at any time, at any event or program, I feel unable or unfit to safety continue for any reason.
5. I give, a FULL RELEASE AND WAIVER OF LIABILITY AND ALL CLAIMS that I have, or may have in the future, against Canadian Cycling Association, and all other Releasees from all liability for any loss damage, injury or expense that I may suffer as a result of my participation in any part or parts of the events or programs or my presence at any venue at which they may take place, due to any cause whatsoever including the forms of negligence set forth in paragraph 2 above or from any breach of contract or statutory duty or other duty of care including any duty of care owed under the relevant Occupier’s
Liability Act, on the part of the Releasees.
6. I AGREE NOT TO SUE and I further agree TO INDEMNIFY AND SAVE HARMLESS the Releasees from all expenses, fees, liability or damage award or cost of any type whatsoever arising from my participation in these events or programs.
I HAVE READ AND UNDERSTOOD THIS WAIVER, RELEASE AND INDEMNITY. I am aware that by signing this agreement I am waiving substantial legal rights (on my behalf and on behalf of my heirs, executors, administrators and next of kin),including the giving up of my right to sue.
PARENTAL CONSENT FOR MINOR PARTICIPANT and INDEMNITY AGREEMENT
I have read and understood the above waiver, release and indemnity, and have discussed the same with the minor person signing above. I am satisfied the said minor understands the waiver and release and his/her obligations as set out. In consideration of the participation of my minor child/ward I too agree to waive, release and indemnify the Releasees in the terms set out above. I am aware that by signing this agreement I am waiving substantial legal rights.
By completing this form you have given permission for Biking for Breakfast Challenge and / or the Summerside Cycling Club to use your likeness in the form of photographs or video for promotional purposes without notification.
If Agree, Type Your Name Here:
Waiver Mandatory:
This field is mandatory. If you do not sign this waiver, you will not be able to participate in the event.
Pledge Sheet
Also, please take the time to download the Event Pledge Sheet (.pdf) so you can start collecting pledges right away. Remember to make your cheques out to Breakfast for Learning (PEI). Feel free to mail your pledge sheet and donations to: Ken Trenholm Biking for Breakfast Challenge 2 Darby Drive Summerside, PE Canada C1N 4V5