Cyclist Host Housing Request Form

By filling out this form you acknowledge you've read and will follow the above expectations detailed in the "What is Expected of Cyclists". Please fill in the answers to the questions below and we will email back as soon as possible.

Cyclist Information

Mailing Address

Emergency Contact Info

Dates Requested

The series runs June 15th-25th, 2017.

Requested Arrival Date
Requested Departure Date

Other Information

Cyclist Host Housing Agreement

Please review the agreement below and check the box to proceed.

  1. Host Family Arrangement. At the request of the Cyclist, Tour of America’s Dairyland (TOAD) will endeavor to locate for the Cyclist a Host Family for the Host Event. TOAD will provide assistance as it desires in making arrangements for the Cyclist to stay with a Host Family.
  2. Cyclist Acknowledgments. In seeking to locate a Host Family for the Cyclist for the Host Event, the Cyclist agrees that:
    1. Any services provided by TOAD are voluntary and can be withheld at any time within TOAD's discretion;
    2. TOAD does not insure or indemnify against any conduct or actions of the Cyclist while on the premises of the Host Family;
    3. The Host Family shall have full authority to set rules and regulations for the use of their property by the Cyclist and shall be entitled to terminate such use at their option, without any prior notice to TOAD or the Cyclist.
    4. The Cyclist shall conduct himself/herself in full accordance with any requirements of the Host Family for use of their premises.
  3. Indemnification. The Cyclist assumes complete and total liability responsibility for his or her actions while on the premises of the Host Family and does and will indemnify and hold harmless TOAD and the Host Family for and against any loss, damage or expense arising from the actions or inactions of the Cyclist while upon the premises of the Host Family.
  4. Host Family Benefit. The Cyclist agrees and acknowledges that this agreement is for the benefit of the Host Family, as well as TOAD, and thus the Host Family shall be entitled to rely on and separately enforce the terms and provisions in this Agreement for hosting the Cyclist on their premises.
  5. Miscellaneous. The parties agree that this Agreement represents the entire understanding between the parties hereto. This Agreement shall be bound by the laws of the State of Wisconsin.
I agree to the terms above*
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