Honorees - Nomination Form

We have developed a form to report Honorees to the EMS Memorial Bike Ride.  If you know of any who needs to be reported from 2020, please get with the appropriate group/person to fill out the form. 

Download the nominee form here.

We want to appropriately honor everyone, so we are requiring the form to be filled out for each honoree.  The nominee deadline to be on jerseys for the 2020 ride will be March 1, 2021.  

Please submit the completed form along with any additional information & pictures to the SC EMS Memorial Bike Ride email account at scemsbikeridecycling@gmail.com.

Statement of Release of Liability: 

I understand that the SC EMS Memorial Bike Ride is both a mentally and physically challenging undertaking. I understand the commitment that is involved, in both time and finances.  I am hereby willfully agreeing to make such a commitment.  I am also hereby certifying that I am in good physical condition with no impairments that may cause me not to be able to participate in the event. I understand that I am agreeing to partake in this event by my own free will and understand that there is a certain risk of injury that could possibly occur during this event. I fully accept and assume the risk and responsibility for any possible injuries, losses, cost and/or damages that might occur, and do hereby agree to hold harmless the SC EMS Memorial Bike Ride, its sponsors, its coordinators, and where applicable, the owners and premises where the SC EMS Memorial Bike Ride occurs.