Registration Form - Ontario Blind Sports Association

First Name *

Last Name *

Campaign Name *

The name you want displayed on your donation page (can just be your name)

Email Address *

Enter Email

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Emergency Contact

Emergency Number

Profile and Other Picture

Maximum file size: 30MB

Please attach a .jpg, .png, .gif or .mpg image. By attaching an image to use as your profile picture you assert that you have rights to use the image and it is not illegal, pornographic or violent in any way.

What Would you Like Your Page to say?

What is your Donation Goal?

Any Dietary Considerations:

Any Medical Considerations:

Do you Require a Tandem Bike?

Yes

No

Are you interested in piloting a tandem bike for a visually impaired biker

Waiver & Release of Liability

Please read carefully. By signing/agreeing below, you acknowledge and accept the following.

Ontario Blind Sports Association Bike and Tandem Ride Fundraiser

Information, Waiver and Release of Liability

EVENT INFORMATION
Event Date: Saturday, June 6th, 2026
Location: Ride occurs between Paris and Cambridge, Ontario!
Start and end location is Cambridge, ON.
Route: Cambridge to Paris Rail Trail – Paris Trailhead (approx. 21 km each way, totaling approx. 42km)Time: 10:00 AM – 3:00 PM (Lunch Provided)

location for lunch: Cambridge to Paris Rail Trail – Glen Morris Trail Access (Forbes St, Glen Morris, ON N0B 1W0)
Registration Requirements:
 Submission of PARTICIPANT INFORMATION/SIGNED WAIVER
 Submission of Registration Fee to be sent to OBSA Executive Director at
randa@blindsports.on.ca or through PayPal
Registration Fee: $50.00/rider
Registration Deadline: Saturday, May 30, 2026
Water and Rest Stop: Glen Moris Kayak drop area (midway point)
Ground Type: Compacted gravel
***Participation of visually impaired riders at this event is dependent on supply of tandem bikes. Bikes will be issued for use on a first-come first-served basis*
REQUIREMENTS
To participate, you must:
 Be comfortable peddling long distances
 Provide your own bike/equipment for the ride, or consult OBSA for equipment availability
RECOMMENDED EQUIPMENT LIST
 Gravel / mountain / road bike
 Helmet (mandatory)
 Mirror, front & rear bike lights/reflectors
 High Visibility Shirt/Apparel
 Water bottle & sunscreen
 Weather-appropriate clothing (rain gear if applicable)
 Bell

Agreement

I have read and agree to the Waiver & Release of Liability

Registration Fee

Note for Payment: After clicking “Register” below, you will be redirected to a secure PayPal page. You will have the option to log into PayPal or select “Pay with Debit or Credit Card” to complete your registration.