2021 PA EMS Memorial Bike Ride
September 11-13, 2021

Sponsored and produced by the Pennsylvania EMS Provider Foundation, this 3-day bicycle cycling event is meant to honor and memorialize the lives of Pennsylvania Emergency Medical Service Providers who have died in the line of duty. You can choose to participate in a single day or all three.  Riders are fully supported with snacks, lunch, and support vehicles.  You get to ride at your own pace on the well marked route that begins in Willow Grove at Second Alarmers Rescue Squad and concludes on the steps of our Harrisburg Capital Complex (pending confirmation of availability).

Not a cyclist?  No problem. Register as support and assist the cyclists as they push toward their goal of arriving safely into our State Capital.

Want to make a donation?  No problem.  Make an online donation securely on our event sponsorship page to support the event or a specific cyclist via an individual donation.  The Pennsylvania EMS Provider Foundation is a nonprofit 501(c)(3) organization and supports EMS and the people who provide it. Learn more about the foundation here.

ONLINE REGISTRATION

To register, please read the acknowledgements and release of liability below, then complete the registration form.

For information on the 2021 PA EMS Memorial Bike Ride, please email Heather directly at executivedirector@aa-pa.org.

RIDER ACKNOWLEDGEMENTS AND RELEASE OF LIABILITY

Every rider must agree to the terms and conditions below when they submit a registration form.

I understand that the PA EMS Memorial Bike Ride is both a mentally and physically challenging undertaking. I understand and acknowledge that I bear the sole responsibility for determining my physical and mental preparedness for this undertaking and represent that I have the physical and mental capabilities to participate in this event.

I understand that I am agreeing to partake in this event on my own free will, and do understand and acknowledge that there is a certain risk of injury or death occurring to myself during this event. I fully accept and assume the risk and responsibility for any possible injuries, losses, costs, and/or damages that might occur, and do hereby agree to hold harmless and release from any and all liability the PA EMS Memorial Bike Ride, its Sponsors, Coordinators, affiliates, agents, officers and directors, fellow riders, and the members, owners and/or lessees/lessors of any property and/or premises where the Ride or any Ride-related activities occur (hereinafter collectively referred to as the “Ride”).

I further agree and acknowledge that the bicycle I will be using in the Ride is in good working order and that I am familiar with its controls and operation. I agree to abide by all applicable laws, rules and regulations regarding the operation of bicycles, including but not limited to observing all posted traffic signs and warnings.

I acknowledge the responsibility to conduct myself at all times, including during riding hours and during after-hours activities and free time, in a manner befitting the emergency medical services profession and the memory of the EMS professionals who are being honored by this event. I agree to defend, indemnify and hold harmless the Ride for any liability arising in any manner from my conduct or activities during riding hours or during any after-hours activities or free time.

I understand and acknowledge that I am solely responsible to pay any fines, costs or penalties that may be assessed by any law enforcement agency regarding my violation of any laws, regulations, traffic rules or other applicable law.

COVID-19-RELATED ACKNOWLEDGEMENTS, ASSURANCES AND RELEASES The Ride will be incorporating the most current official recommendations for protecting participants and the public in effect at the time of the Ride. Participants will be required to adhere to any infectious disease precautions directed by the Ride during the event. This may include, without limitation, social distancing and mask-wearing practices. Face coverings must be worn at all times when not riding or eating or hydrating (i.e., rest stops, pre and post-ride, etc.) to the extent currently recommended by the Centers for Disease Control and Prevention (CDC) and/or as directed by the Ride. Additionally, to help protect other riders and those I may encounter on the ride, and understanding that people may become seriously ill and even die if they contract COVID-19 from me, I hereby confirm and certify that I have received the COVID19 vaccine according to its recommended administration. If I have not received the COVID-19 vaccine, I confirm and certify that my reason for not receiving the COVID-19 vaccine is because: (1) I have an allergy to the vaccine or any of its components, (2) I have an allergy issue that makes receiving the COVID-19 vaccine not medically recommended, (3) I have another medical condition that prevents me from receiving the COVID-19 vaccine, or (4) I have a sincerely-held religious belief that prevents me from receiving vaccinations. (Sincerely-held religious beliefs do not include any personal opinions I may have concerning the COVID-19 vaccine or vaccinations in general.) I agree to release, waive and forever discharge the National EMS Memorial Bike Ride, its Sponsors, Coordinators, affiliates, volunteers, agents, officers and directors, and the owners or lessors or any property and/or premises where the Ride or any Riderelated activities occur (collectively the “Released Parties”) from any and all issues related to my receipt of the COVID-19 vaccine.

In light of the ongoing spread of COVID-19, by attending the Ride, I confirm and certify that I will not participate in the Ride if, within the fourteen (14) days immediately prior to the event, I will have: (1), experienced any symptoms associated with COVID-19 (such as, but not limited to, fever, cough, shortness of breath, lost of taste and/or smell, etc.), (2) traveled internationally or to a community in the U.S. that is experiencing sustained community spread of COVID-19, (3) been informed that I have been or may have been exposed to COVID-19, and/or (4) been diagnosed as having COVID-19 without a subsequent negative COVID-19 test. I agree to self-monitor for signs and symptoms of COVID-19 (including, but not limited to fever, cough, shortness of breath, loss of taste and/or smell, etc.) and to notify Ride organizers if I experience and of these signs or symptoms during the Ride. I also understand and agree that my participation in the Ride includes possible exposure to and illness from infectious diseases, including but not limited to COVID-19. While particular rules and personal discipline may reduce this risk, the risk of serious illness does still exist, even if I have received a COVID-19 vaccine. I knowingly and freely assume all such risks related to illness and infectious diseases, such as COVID-19, even if arising from the negligence or fault of the Released Parties.

ACKNOWLEGEMENTS, ASSURANCES AND RELEASES OF OTHER HEALTH RISKS

I acknowledge that there are also health risks not related to illness or infectious disease that are associated with the Ride, including but not limited to: dizziness, lightheadedness, chest pain, fainting, nausea, muscle cramping/injuries/strains/tears, musculoskeletal injury, joint pains/sprains/strains, trauma, heart attack, stroke, and/or death. I agree that if I experience any of these or other symptoms during the Ride, I will discontinue my participation in the Ride immediately and seek appropriate medical attention. I do hereby release and forever discharge the Released Parties from any claim whatsoever that arises or may hereafter arise on account of any first aid, emergency medical services, treatment or service rendered in connection with my participation in the Ride.

RELEASES AND ASSUMPTION OF ANY AND ALL OTHER RISKS

I agree to defend, indemnify and hold harmless the Released Parties from any liability arising in any manner from my deviation or failure to comply with any confirmation, certifications and/or agreements contained in this Release. I understand and acknowledge that I am solely responsible to pay any fines, costs or penalties that may be assessed by any law enforcement agency regarding my violation of any laws, regulations, traffic rules or other applicable law and I release the Released Parties from any and all responsibility to pay for such fines, costs and/or penalties. Understanding the risks and responsibilities outlined in this Release, I hereby release, waive and forever discharge any and all liability, claims, and demands of whatever kind or nature against, either in law or in equity, to the fullest extent permissible by law, including but not limited to damages or losses caused by the negligence, fault or conduct of any kind on the part of the Released Parties, including but not limited to death, bodily injury, illness, economic loss, out-of-pocket expenses, and/or loss or damage to property, which I, my heirs, assigns, next of kin and/or legally-appointed or designated representatives, may have or which may hereafter accrue on my behalf, which arise or may hereafter arise from participation in the Ride. 

I acknowledge that I have had an opportunity to fully read this document prior to signing it, and I understand that this contains a legal release of any claims I may have against the PA EMS Memorial Bike Ride and the other parties named in this document.

*If rider is under 18 years of age, the rider’s parent or legal guardian must agree for the rider.

REGISTRATION OPTIONS

Prices include snacks and lunches on the ride.  Breakfast will be sponsored or included in the price of the hotel.  Dinners will be included for Sunday evening (Stars of Life Dinner) or sponsored.  Information will be provided closer to the event.

CYCLIST:

Full Ride - $100.00 (three days)
Individual Days: 
  • Sept. 11 only - $40.00
  • Sept. 12 only - $65.00
    (includes PA Stars of Life dinner) 
  • Sept. 13 only - $40.00
  • Sept. 11 and 12 only - $85.00
  • Sept. 12 and 13 only - $85.00
SUPPORT (wing man or wing woman)
  • Full Ride - $60.00
  • Sept. 11 only - $25.00
  • Sept. 12 only - $50.00 
    includes PA stars of life dinner) 
  • Sept. 13 only - $25.00

Optional Jersey Available for Purchase - More information to follow.

View the sizing chart here.

Cancellation Policy:  Due to the nature of the event, once you have registered and checked out, there will be no refunds.  Please ensure that you are able to participate in the event on the day(s) you have selected on the registration form.  (Note:  If the state is closed or restrictions are in place that prevent the ride, refunds will be provided.)

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