Because of increased popularity of this event (and BCP thanks YOU for helping this weekend to grow over the last few years!!), ON-LINE registration is now CLOSED. Please do NOT proceed with on-line payment via Paypal. Please contact event leader Linda McGrane, 267-251-7862 cell# or , to confirm room availability, before completing and mailing the hard-copy registration form. THANK YOU SO MUCH for helping to make the Fall Foliage Weekend so successful!

Fall Foliage Weekend
Registration Form

Name(s) of Guest(s):___________________________________________________________
Address: ____________________________________________________________________
Telephone:___________________________________________________________________
e-mail: ______________________________________________________________________
Emergency Contact: ________________________Relationship __________Tel. # ___________
Are you a current BCP member?     Circle:         Yes         No
How did you hear about this event? ________________________________________________
Room occupancy (circle):     Single        Double*         Other*
*Name(s) of Roommate(s), or write "Please assign" ___________________________________
Special Needs, such as diet, allergy, etc: _______________________________________________
Ability to Volunteer/Assist with this Event (Volunteers are tremendously vital & appreciated):
________ Obtain & bring groceries/supplies to hotel [BCP will reimburse you]
________ Lead a ride one day to increase cycling choices for guests of varying levels of ability/interest
________ Help set-up party room on Fri, keep tidy between parties, and/or,
________ Help clean up party room on Sunday
________ Be available for 1-2 hours as a “SAG” driver, in case another guest needs to be picked up
________ Other- _____________________________________________________________

Entrée Selection for Saturday evening dinner at Altland House [cooking details available from Linda, if needed]
________ White meat/Chicken
________ Red Meat
________ Fish
________ Vegetarian

Cancellation Policy: Cancellation notices received up to two weeks prior to check-in, ie by Friday, Oct. 3, will be refunded in full, minus a $5 service fee. Cancellation notices received less than two weeks prior cannot be refunded, unless the room can be reassigned to another party, eg someone on the waiting list.

Please Note: BCP’s Weekend Events take place rain or shine. If we provide our guests with relaxation & laughter, friendships old & new, great food & drink & merrymaking, the weekend will be a success, regardless of the weather.

PAYMENT

Please circle your selections. Member Non-member
Postmarked or paid on-line
BY Tues, Sept. 16		 $160/person, double $180/person, double
Postmarked or paid on-line
AFTER Tues, Sept. 16		 $185/person, double $205/person, double
Single occupancy supplement, if applicable $85, if desired $90, if desired
OPTION: Nonmembers can join now ($15 dues for online newsletter, $20 paper) and get member-level event pricing. - $15/$20

TOTAL PAYMENT ______________

Please make check payable to: "BCP Fall Weekend"
Send it with this completed form to: BCP Fall Weekend, c/o Linda McGrane, 87A Laurel Avenue, Cheltenham, PA, 19012-2046. Including a SASE is not essential, but is appreciated, in sending your confirmation letter/driving directions, etc., as quickly as possible. Again, if you have any questions or concerns, please contact Linda McGrane, at: 267-251-7862, or

Waiver: I understand that participation in Bicycle Club of Philadelphia (“BCP”) activities is at my own risk. For cycling events, it is BCP’s policy for all participants to obey traffic laws and to require you to wear an approved safety helmet. Furthermore, by participating in a BCP cycling event I hereby represent that I am able to operate my bicycle properly and that my bicycle is in good mechanical condition. For non-cycling events, participants agree to act safely and obey any rules or regulations applicable to the event. I acknowledge that I am aware of the risks and dangers inherent with participating in this BCP event and knowingly and voluntarily assume the risk of injury resulting there from. I understand that supervision, training or oversight may not be provided by BCP with respect to this event. I acknowledge that BCP and its directors, officers, members, contributors, sponsors, ride leaders and other event coordinators are not insurers of my personal safety or property and do not assume any liability for personal injury or property loss sustained during this BCP event. By signing below and in consideration for being allowed to participate in this BCP event, I fully release BCP and its directors, officers, members, contributors, sponsors, ride leaders and other event coordinators from any liability, specifically but not limited to liability for their negligent acts, stemming from or relating to past or future BCP sponsored events or activities. I have read and understood this notice and release, and intend to be legally bound by it. Note: If rider is under 18 years of age, both rider AND parent or guardian MUST SIGN THIS SHEET. Use more than one line if additional space is required.

Signature _________________________________________ Date _____________________

Thank You