Monster Motorcycle Ride Registration

2018 Monster Motorcycle Ride Registration

Welcome to the Monster Motorcycle Ride. Thank you for helping us to raise money for David’s Hope, Inc., a non-profit organization that supports families in our community with Family members who suffer with PTSD, and drug and alcohol addiction. Fee is $20 per person. Please be on site at the Pritchard Community Center located at 404 S. Mulberry Street in Elizabethtown, KY on October 28, 2018 between 9am-10am for registration. Kickstands up at 10am promptly.

Step 1: Complete the Registration Form

Safety is our primary concern. Please observe all federal, state and local laws, and ride safely and defensively. We request that you and your passenger wear a helmet, appropriate clothing and eyewear. If you and/or your passenger choose to ride without a helmet, you do so at your own risk. Please ride with your headlight on at all times and never ride under the influence of alcohol or drugs. In consideration of my participation in the above named event, I HEREBY WAIVE AND RELEASE ANY AND ALL RIGHTS AND CLAIMS OF ANY NATURE, ROUNDED IN WHOLE OR IN PART UPON ANY TYPE OF NEGLIGENCE, that (I) may have against the above party, officers, employees, volunteers and any cooperating entities, their representatives, heirs, executors, administrators, successors, and assigns (the “Released Parties”) arising out of or resulting from any and all injuries or damages of any nature, including death, which (I) may suffer while taking part in the event or any activities connected with the event. I UNDERSTAND, THAT BY SIGNING THIS DOCUMENT I AGREE NOT TO SUE any or all of the Released Parties in connection with the event. I AM EXPERIENCED IN AND FAMILIAR WITH THE OPERATION OF MOTORCYCLES AND FULLY UNDERSTAND THE RISKS AND DANGERS INHERENT IN MOTORCYCLING. I am voluntarily participating in the event and I expressly agree sole responsibility for the safe and successful operation of my motorcycle, and to accept the entire risk of any accidents or personal injury, including death, which I might suffer as a result of my participation in the event. I further understand and I assume all risks in participating in the event. The activities of this event may be videotaped. As the undersigned, I agree that my likeness may be used in promotional materials and will hold harmless the “Released Parties” and agree that no monetary or any other consideration will be given for their use.

* Indicates required field

RIDER'S INFO

By signing this document, I certify that I have read this document, fully understand it and that I am not relying on any statement or representations of any of the Released Parties. This document shall be binding upon my heirs, executors, administrators, assigns and me. *

I agree I disagree

Rider Name *

First

Last

Rider Address *

Line 1

Line 2

City

State

Zip Code

Country

Phone Number *

Are you at least 18 years old? *

Yes No

PASSENGER'S INFO

I agree 1 disagree

Passenger Name *

First

Last

Passenger Address *

Line 1

Line 2

City

State

Zip Code

Country

Phone Number *

Are you at least 18 years old? *

Yes No

IF UNDER THE AGE OF 18, A LEGAL GUARDIAN'S SIGNATURE IS REQUIRED: I affirm that I am the Parent/Legal Guardian of the above named person and that I have full authority to authorize his/her participation in the above referenced event

Parent/Legal Guardian Name *

First

Last

Today's Date *

Please note your registration will not be valid until payment has been received.
Thanks again for participating in the 2018 Night Risers Con Monster Motorcycle Ride presented by Izzy's Little Creepers LLC!

Complete My Registration

Step 2:

Other Registration Options:

Download Form, Print, & Mail

Make Checks/Money Orders Payable to:
Izzy's Little Creepers
901 N. Miles Street
Elizabethtown, KY 42701

You can always download & print the form, and bring it with you for onsite registration on October 28th, 2018 from 9am to 10am. Onsite registration payments will be limited to Cash, Check, or Money Orders only.

2018_motorcycle_registration_form.pdf
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File Type:	pdf

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2018 Monster Motorcycle Ride Registration

Step 1: Complete the Registration Form

Step 2:

Other Registration Options:

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