2015 Bed Race Registration Documents

Dear Friends of Family Promise,
We have completed two “Bed Races” fundraisers, both held in late fall, and very successful. However,
we have decided that in order to have more opportunity for publicity and greater involvement, it is
necessary to move the event to sometime in the spring of the year. So “Bed Races 2015” is scheduled
for April 11, at North Belton Middle School from 9:00 a.m. to 2:00 p.m. (Alternate date if weather
prevents the races on the 11th will be April 18, at Yettie Polk Park in Belton)
Registration of teams will begin immediately. Registration fee is $100 per team. Previous participating
teams that recruit a new race team will receive a $25 discount on their registration November 2015 will
pay only $75.00 entry fee. (See attached Recruitment form.)
You are receiving with this letter, the necessary documents to register your team. Please review all the
material carefully, and respond as soon as possible regarding your team. For the purpose of inclusion in
our brochures and on T-shirts, registration must be complete no later than March 21st. Teams
registering late will be able to participate but will not be included in the brochures or on the T-shirt.
Some new features for this year include: (1) early arrival so that you have your bed ready for a trial run
and judging for best theme; (2) Opening ceremonies including a parade where each bed and team will
be introduced, providing information about the theme and process for development of your entry, and a
short ‘bio’ on each team member; (3) Additional team members who will be your cheerleaders and will
work the crowd to generate support for the “People’s Choice” award; (4) Vendors who will provide food
and drinks; (5) T-Shirts for all team members, and available for sale at the event; (6) A briefing for all
team captains one month before the event; (7) Awards ceremony on site at the close of the event.
If your organization would like to provide a vendor booth, sharing proceeds with us, these will be
available on a first-come, first-served basis. We are particularly looking for vendors who will have: (1)
drinks: (2) sausage wraps/hot dogs: (3) hamburgers/chips: (4) desserts. You may register to provide
one of these or additional items by contacting Season Norton or Mike Bergman at the Family Promise,
telephone number 254-773-9980.
As we look forward to “Bed Races 2015” let’s not forget why we do this. For us to be effective in our
mission, we need sufficient financial support. This is one way we can all work together, have fun, and
help many families. Remember our motto: Helping homeless children and their parents find their way
home.
With anticipation and joy,
Mike Bergman
Executive Director
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Bed Construction Guidelines
1. Each bed must have four (4) load bearing wheels safely in contact with the ground at all times.
The rear wheels must be fixed and the front wheels be of a swivel type.
2. Beds may not be motorized or have any steering mechanism. Human power only.
3. Beds must be pushed, not pulled. Push bars are permitted but cannot extend more than 16
inches from the bed frame.
4. Decorated and themed beds are strongly encouraged. However, bed decorations cannot
interfere with the line of sight of any pusher.
5. Although the bed does not have to be an actual bed and bed frame, each bed must include a
twin size mattress, headboard and footboard.
6. The bed must be at least 10 inches from the ground to the support frame.
7. Each bed must include a safety restraint, harness or strap securely attached to the bed frame
and easily accessible by the bed rider.
8. Beds should not have any sharp edges.
9. Team names must be clearly displayed on the front of each bed.
10. Beds must be a minimum of three (3) feet wide and five (5) feet long and must be able to
support a twin size mattress.
11. Each mattress must be securely fastened to the bed.
12. Beds will be subject to a visual safety inspection by an event judge prior to the beginning of the
race. Any bed failing to pass the initial inspection will be given the opportunity to correct the
problem. Failure to do so may result in a team’s disqualification.
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Bed Race Rules
1. Each team is made up of five (5) members: four “bed pushers” and one “bed rider.” The rider
must sit or lay flat on the bed at all times during the race.
2. Each bed must include (and each rider must hold) a safety restraint, harness or strap securely
attached to the bed frame.
3. All four (4) pushers must maintain a line of sight with the race course at all times and must stay
in contact with the bed until the entire bed has passed through the finish line and has come to a
complete stop.
4. No person may be a member of more than one team.
5. Closed toe shoes must be worn at all times. Helmets, knee pads, goggles, other safety
equipment is encouraged. All bed riders must wear helmets to participate.
6. Each team member MUST sign a Waiver of Liability and acknowledgement of the Bed Race Rules
and Regulations before participating in the race. Parents must sign a Waiver of Liability for all
children under the age of 18.
7. All “bed pushers” must be at least 13 years old. All “bed riders” must be at least 18 years old.
There are no exceptions.
8. There will be NO use of alcohol or illegal drugs.
9. All participants must display good sportsmanship. Foul language and obscene gestures will not
be tolerated. Any team member guilty of such will be disqualified from competition.
10. Any team purposefully making contact with the opposing team’s bed or members during the
race will be automatically disqualified.
11. Team costumes and bed decorations are encouraged but must be family friendly.
12. Family Promise of East Bell County reserves the right to disqualify or remove, at its discretion,
any team, costume, or bed decoration that is deemed inappropriate or defies the spirit of the
bed race competition.
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2015 Bed Race Waiver & Release Form
1. Applicants age 18 and over, complete Part A only.
2. Applicants age 13 - 17 must have parent(s) or guardian(s) complete Parts A and B.
3. All Applicants/Racers must complete this form and bring proof of identification on race day.
Part A: WAIVER & RELEASE FROM LIABILITY
1. WAIVER & RELEASE:
In consideration of each applicant racer (“Applicant”) being permitted to enter into areas of the bed
race course to which the general public is prohibited from entering (“Restricted Area”), or being
permitted to compete, observe, or participate in the bed racing event (“Event”), EACH APPLICANT, for
themselves, Applicant’s personal representatives, heirs, and assigns, acknowledges, agrees and
represents that Applicant has or will immediately upon entering any of such Restricted Areas, and will
continuously thereafter, inspect such Restricted Area or Areas. Furthermore, Applicant’s participation in
the Event constitutes an acknowledgement that Applicant has inspected all Restricted Areas and has
reviewed the conditions, requirements and the location of the Event, and that Applicant finds and
accepts the same as being safe and reasonably suited for the purpose of Applicant’s use. Applicant
further agrees and warrants that if at any time, Applicant is in or about a Restricted Area or location in
which Applicant feels anything to be unsafe or unsuitable, Applicant will immediately advise race
officials of such conditions and will leave the Restricted Area(s) and/or withdraw from the Event.
Applicant hereby releases, waives, discharges and covenants not to sue Family Promise of East Bell
County, it’s agents, representatives and officers, the City of Belton, the promoters and sponsors of the
Event, other participants, operators, and all of their assigns, and respective heirs (collectively “Family
Promise Indemnities”) for any damage, demands, suits, causes of action, or claims of every kind and
character caused by, arising out of or relating to any injury to, or death of, or claim by, Applicant,
whether caused by the negligence of the Family Promise Indemnities or otherwise while Applicant is in,
upon or near the Restricted Area, and/or competing, observing, or participating in the Event.
2. INDEMNITY & HOLD HARMLESS:
Applicant hereby agrees to indemnify, save and hold harmless the Family Promise Indemnities from any
loss, liability, damage, or cost Applicant may incur due to the presence of Applicant in, upon or near the
Restricted Area or in any way competing, observing, or participating in the Event and whether caused by
the negligence of the Family Promise Indemnities or otherwise.
3. ASSUMPTION OF RISKS:
Applicant fully understands that physical activity, by its very nature, carries with it certain inherent risks
that cannot be eliminated regardless of the care taken to avoid injuries. Some of these risks include, but
are not limited to, strenuous exertions of strength using various muscle groups, quick movements
involving speed and change of directions, and sustained physical activity which places stress on the
cardiovascular system. The specific risks vary from one activity to another, but in each activity the risks
range from 1) minor injuries such as scratches, bruises and sprains to 2) major injuries such as loss of
sight, joint or back injuries, concussions, and heart attacks to 3) catastrophic injuries including paralysis
and death. Applicant hereby assumes full responsibility for the risks listed herein. EACH APPLICANT
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FAMILY PROMISE OF EAST BELL COUNTY
2015 Bed Race Waiver & Release Form (pg. 2)
further expressly agrees that this waiver and release agreement is intended to be as broad and inclusive
as is permitted by law in the State of Texas and that if any portion is held invalid, it is agreed that the
balance shall, notwithstanding, continue in full legal force and effect.
EACH APPLICANT has read and voluntarily signs this waiver and release form, and further agrees that no
oral representations, statements of inducements apart from the forgoing written agreement have been
made or relied upon.
DATE:
___________________________
SIGNED BY:
___________________________________________________
PRINTED NAME:
___________________________________________________
MAILING ADDRESS:
___________________________________________________
___________________________________________________
PHONE:
___________________________________________________
If signing on behalf of minor:
NAME OF MINOR:
___________________________________________________
RELATIONSHIP TO MINOR:
___________________________________________________
PART B: PARENT/GUARDIAN WAIVER - RELEASE FROM LIABILITY
If the Applicant is under 18 years of age, the parent(s) or guardian(s) must execute in addition to the
above Part A, the following waiver:
The undersigned referred to as the parent(s) and natural guardian(s) or legal guardian(s) of the
Applicant, does hereby represent that he/she (they) is (are) in fact acting in such a capacity and agrees
to save and hold harmless and indemnify each and all of the Family Promise Indemnities listed above
from all liability, loss, cost, claim, or damage whatsoever may be imposed upon the Family Promise
Indemnities because of any defect in or lack of such capacity to so act and release the Family Promise
Indemnities on behalf of both of the undersigned.
NAME:
SIGNATURE:
______________________________
______________________________
RELATIONSHIP TO MINOR: _________________
DATE: ____________________________
NAME:
SIGNATURE:
______________________________
______________________________
RELATIONSHIP TO MINOR: _________________
DATE: ____________________________
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2014 BED RACE PERMISSION TO PHOTOGRAPH FORM
I,____________, give permission to be photographed, filmed, and/or videotaped during the 2014 Family
Promise Bed Race sponsored by Family Promise of East Bell County. I understand that the photos, films,
and/or videotapes will be used by the broadcast, display, website, and /or publication of Family Promise
or its representative to promote its program and services; and in no way will be done in such a way as to
exploit any individual.
I have read and I understand the above information.
___________________________________
Adult Participant’s Signature
____________________________
Date
If participant is under the age of 18:
I give permission for my child(ren) listed below to be photographed or videotaped during the event.
___________________________________
Parent or Guardian Signature
____________________________
Date
Name(s) of child(ren): ____________________/ _________________________/
________________________
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BED RACE REGISTRATION FORM
Third Annual Bed Races benefitting Family Promise of East Bell County
Saturday April 11, 2015
Closing date for Registration to be included in media information is March 21,
2015
Entry Fee: $100.00 per team*. Each team will have five members with one member riding on the bed,
and one member designated as a Team Captain. The entry fee will include 5 2015 bed race t-shirts. Race
will be held at the North Belton Middle School 7909 Prairie View Road, Temple. Parade to begin at
10:00am (race to follow).
Teams are responsible for building and preparing a bed to bring to race. However, a limited number of
pre-built beds will be available to race for an additional fee of $50. Please indicate if you will need a prebuilt bed and we will try and accommodate you. These will be provided on a first-come, first-serve basis.
Please make checks payable to Family Promise of East Bell County, 1018 East Ave A., Temple 76501.
* See attached fee discount options for previous participating teams and for their referral of new teams.
Name of Team: _________________________________
Does your team represent an organization/company or have a sponsor? If so, please describe:
______________ _______________
Does your team require a pre-built bed (additional $50 fee)
Name
Team Captain: _________________________________
Team Members:_________________________________
_________________________________
_________________________________
_________________________________
Contact information for Team Captain and one other team member:
Email Address
Team Captain _______________________
Other Member _______________________
Yes_ _ No____
Age
_____
_____
_____
_____
_____
Gender
_______
_______
_______
_______
_______
Phone Number
_______________________
_______________________
Trophy, Prizes and Awards will be given for:
 1st and 2nd place winning race teams
 1st and 2nd place Most Creative Team Bed Design and Costumes (voted on by Celebrity Judging
Panel)
 People’s Choice Award – determined by largest amount of donations raised for a race team
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Please feel free to contact us at familypromisetemple@yahoo.com for more information or questions.
Waiver of Liability must be signed by each member as part of the registration. Your registration will not
be complete without the Waiver of Liability. You must be at least 13 years old to push a bed and at least
18 years old to ride. The Team Captain must attend a brief informational meeting prior to the race
(review rules, give updates, etc.). Good luck and thank you for participating in Family Promise’s First
Annual Bed Race!
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FAMILY PROMISE EAST BELL COUNTY
2015 BED RACES
Your team name and contact person information:
________________________________ _______________________________
(Name)
(Phone)
We have recruited ______________________________________ to participate in the
(Name of Individual who will lead team)
2015 Family Promise Bed Races.
They have ___ have not ___ received a packet. You can contact him/her at
_____________________________ or _________________________
(Email)
(Phone)
___________________________________
Your Signature
------------------------------------------------------------------------------
FAMILY PROMISE EAST BELL COUNTY
2015 BED RACES
We have been recruited to participate in the 2015 Family Promise Bed Races by
____________________________________________.
(Team or team leader who recruited you)
We have ___ have not ___ received a packet. You can contact us at
______________________________ or _________________________
(Email)
(Phone)
___________________________________
Signature
Family Promise, 1018 E. Ave A, Temple 76501
familypromisetemple@yahoo.com
254-773-9980
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