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RIDE for RYAN
Rally Registration Form
APRIL 29-MAY 2, 2011
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Please complete separate Registration for each Rider
NAME_______________________________Phone#_____________
ADDRESS___________________________________________
CITY__________________ STATE___________ ZIP_________
E-mail________________________________
____ Route A** ____ Route B**
** Please refer to Calendar page for Route details and other Info.
REGISTRATION FEE IS $35.00 WHICH INCLUDES A FABULOUS
2011 'RIDE FOR RYAN' T-SHIRT AND RFR GOODIE BAG
.
____________________________________________________
PLEASE INDICATE SIZE
S____ M____ L____ XL_____ 2XL_____
ALL T'S ARE BLACK, SHORT SLEEVE
IF YOU WOULD LIKE TO PURCHASE ADDITIONAL T-SHIRTS
PLEASE REFER TO THE 'ORDER TSHIRT' PAGE
*Please read carefully and sign below*
The RIDE FOR RYAN is a non-profit, Charitable event dedicated to the memory of Ryan Curtis Devereaux. By signing this Registration Form,
you agree to hold the RIDE FOR RYAN Rally, it's Founders, Volunteers, Staff, Family Members and Sponsors harmless from any legal, financial,
or moral responsibility should any incident occur including, but not limited to accident, bodily injury, damage to property, or death, as a result of your
participation in this event. All participants acknowledge that operating/ riding a motorcycle, or any motor vehicle has possible inherent risks such as
bodily injury, property damage and/or death. By signing this document, you agree to participate in the above event at your own risk.
You are required , by law, to carry adequate insurance on your own vehicle and acknowledge such compliance by your signature below.
This annual Ride raises funds to aid in education and awareness of the hazards and risks associated with drunk driving. All funds donated
or raised through Private Parties or Corporate Sponsorship are used for the sole purpose listed above.
By signing this document, I understand and accept all terms stated above:
Signature____________________________________
Print Name_______________________________________
Date_________________
*******REGISTRATION DEADLINE IS APRIL 15TH, 2011*******
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