Biking Across Kansas Online Registration

If you prefer to pay by check, please fill out the form below, print it out and mail it along with payment to:
Biking Across Kansas, PO Box 192, Olathe, KS 66051
Checks payable to: Biking Across Kansas.

Our secure online registration system accepts Visa, Mastercard and Discover.

Your web browser preferences must be set to accept cookies in order for your registration to proceed.

I will be participating
on BAK as

All participants, including non-riders, of all ages must register.

Description of entry types

Part-time Riders (1 to 3 consecutive days). For those riding 4 to 7 days, please register as a full-time rider.

SAG volunteers: please email sag23@bak.org for details on how to register as a SAG-stop host volunteer.

If Part-Time rider, how many days?

Which days?
(Part-Time only)

June: 10 11 12 13 14 15 16 17

Lodging Preference?

Tent Gymnasium Motel RV/Camper
Select your overnight lodging preference.

Special diet
requirements?

No Vegetarian Vegan Gluten-free
Select your diet preference. This information will help communities along the route with their meal preparations.

T-shirt Size

View t-shirt size info

Have you participated on BAK before?

NO, This is my first year on BAK

YES, I have previously participated on BAK for years.

My first year of BAK was

How did you first hear about BAK?

Approximate Annual Cycling Mileage

I'm willing to volunteer

As a Medic (must be qualified)

Assisting with bicycle repairs

In another capacity. Please contact me with opportunities

Why are you going on BAK 2023?

I am:

Male Female

Age (as of 6/9/2023) Date of Birth MM/DD/YYYY

First Name

Last Name

Address

City

State

Zip

Country

Email

Mobile Phone

(BAK will send informational text messages to your cell phone during the tour.)

Home Phone (optional)

Occupation

If under 18 years old, please list the name and phone number of your BAK guardian

(Authorized guardians must be 25 years or older
and be a participant on BAK 2023).

Emergency Contact Name

Emergency Contact Address

Emergency Contact Phone

Medical or other comments (optional)

(You may briefly list any relevant existing medical conditions of which BAK organizers and medics should be aware, including your COVID-19 vaccination status. This information is provided on a voluntary basis and is not required for registration.)


	Men's Extra T-Shirt $15 ($17 2XL/3XL) view size info	SM M L XL 2XL 3XL
	Women's Extra T-Shirt $15 ($17 2XL/3XL) view sizing info	SM M L XL 2XL 3XL
	Youth T-Shirt $12 view sizing info	XSM SM M L XL
	Toddler T-Shirt $10 view sizing info	3T 4T 5T
	Men's Long-Sleeve T-Shirt $20 ($22 2XL/3XL) view sizing info	SM M L XL 2XL 3XL
	Women's Long-Sleeve T-Shirt $20 ($22 2XL/3XL) view sizing info	SM M L XL 2XL 3XL
	Men's Jersey by Peak 1 $75 View size chart and colors	XSM SM M L XL 2XL 3XL 4XL 5XL
	Women's Jersey with sleeves by Peak 1 $75 View size chart and colors	XSM SM M L XL 2XL 3XL 4XL 5XL
	Women's Racerback Jersey by FloraVelo $75 View size chart and colors	XSM SM M L XL 2XL 3XL
	Women's Jersey with sleeves by FloraVelo $75 View size chart and colors	XSM SM M L XL 2XL 3XL
	Limited quantities of BAK 2023 jerseys will be on sale during BAK 2023.

	You must read and agree to the release to continue the registration process. Open printable version of the release	BIKING ACROSS KANSAS, INC. Biking Across Kansas 2023 ("Event") I understand that bicycling in the Event has risks of injury and damage, including but not limited to risks of exposure to and complications from Novel Coronavirus ("COVID-19"), and I voluntarily and knowingly assume those risks. With that understanding, and in consideration of my being allowed to participate in the Event sponsored by Biking Across Kansas, Inc., I agree to the following: RELEASE: I hereby release and agree to hold harmless Biking Across Kansas, Inc., its organizers, officers, directors, members, employees, agents and volunteers (collectively "BAK"); organizations providing accommodations for the Event and their personnel; and other bicycle riders participating in the Event, from any and all claims for personal injury, death, exposure to or complications from COVID-19, or property damage resulting from the negligent acts or omissions of BAK; organizations providing accommodations for the Event and their personnel; or other riders, sustained by me during my participation in the Event, and agree to indemnify BAK or any one or more of them for any expense or loss they may incur by reason of any such claim I may make. ILLNESS/INJURY: If I exhibit symptoms commonly associated with or test positive for COVID-19, immediately prior to the event, I agree to stay home and not attend. If I exhibit symptoms commonly associated with or test positive for COVID-19 during the Biking Across Kansas 2023, I agree to immediately isolate myself from other participants, to cease participating in the Event until testing negative for COVID-19, and to be responsible for my own medical care and transportation. In the event of any other illness or injury during Biking Across Kansas, I agree that directorial or medical staff may determine that I cannot continue bicycling or traveling with the event for my own well-being and that of other participants. If this determination is made, I agree that I will leave the event within 24 hours, making my own travel arrangements, at my own expense, with no refund of entry fees. If my medical condition requires hospitalization in a city on or near the BAK route, I agree that Biking Across Kansas will not provide transportation for me. I agree to make my own transportation arrangements at my own expense. COVID COMPLIANCE: I agree to abide by the COVID-19 public health regulations of the jurisdictions in which the Event occurs, including wearing a mask when not cycling, unless excused by local law. I agree that my failure to comply shall be grounds for my expulsion from the Event with no refund of entry fees by BAK. USE OF NAME/LIKENESS: I authorize and consent to persons acting for, volunteering, employed or contracted by Biking Across Kansas, Inc., whether by videotape, film, newsprint, website, Facebook, Twitter, written advertisement, or otherwise, to use or publish any materials containing my name or picture, and I release any sponsors and all persons acting under their authority from any claims I might have due to initial or subsequent publication of any such materials or photographs. I acknowledge that if my photo or name is used in such materials I will not be receiving any compensation whatsoever. If, in Biking Across Kansas, Inc.'s ("BAK's") sole discretion, the commencement or continuation of Biking Across Kansas 2023 and any related events and activities (collectively the "Activity") are made impossible, impracticable, or unreasonably dangerous to participants, staff or volunteers due to the occurrence of any force majeure event, or credible threat thereof, including but not limited to any Act of God, fire, earthquake, acts of civil or military authority, casualty, weather, flood, war, terrorist attack, epidemic, pandemic, public emergencies, insurrection, civil unrest, strikes or other labor activities, environmental conditions or any other similar cause beyond the reasonable control of BAK ("Force Majeure Event"), then BAK has the right to cancel all or any part of the Activity. In the event of any cancellation due to a Force Majeure Event, all registration fees are forfeited and will not be refunded by BAK. Please understand, the Activity depends on many favorable conditions beyond BAK's control, and in their absence, some part or all of the Activity may have to be cancelled. Please also understand, if the Activity is cancelled as a result, you will lose your registration fee. BAK strongly recommends that you obtain trip/travel or similar insurance to protect you if Biking Across Kansas must be cancelled due to a Force Majeure Event. Dated this day of , 2023 Signature Printed Name Everyone under eighteen (18) years of age must have the following completed: PARENT/GUARDIAN RELEASE: I as parent or guardian of the above named minor hereby give my permission and consent voluntarily and freely for my child to participate in the Event. I further agree individually and on behalf of my child to the above terms and have fully read the "Release" and "Use of Name/Likeness." Signature (parent or guardian) Printed Name TO WHOM IT MAY CONCERN: We the undersigned, father, mother, or guardian, of have the legal custody and control of born on . Authorization is hereby given for medical care and treatment to be administered to our minor child in the event of serious injury or illness. This Consent and Authorization will be for the period June 9-17, 2023. Signature (parent or guardian) Printed Name Authorization is hereby given for medical care and treatment to be administered to our minor child in the event of serious injury or illness. This Consent and Authorization will be for the period from June 9-17, 2023. I Agree to the Terms of This Release I do NOT want my name to be included on the public web site list of BAK participants.