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Events
Register here for the 2019 Motorcycle Ride
September 14, 2019 (rain date September 28, 2019)
Ride Like an Animal Registration
Rider's Name
*
First
Last
Email
*
Phone
*
Address
*
Street Address
Address Line 2
City
State / Province / Region
ZIP / Postal Code
Will You Have a Passenger?
*
Yes
No
Passenger's Name
*
First
Last
Passenger's Address (If different from above Rider's)
Street Address
Address Line 2
City
State / Province / Region
ZIP / Postal Code
Registration
*
Single Rider $20 (Includes T-Shirt)
One Rider and One Passenger $30 (2 T-shirts)
Payment Preference
*
Pay Online, with PayPal
Mail or Drop Off Check at Shelter
Will Pay at the Shelter
Rider's T-Shirt Size
*
Small
Medium
Large
X-Large
XX-Large
XXX-Large
Passenger's T-Shirt Size
*
Small
Medium
Large
X-Large
XX-Large
XXX-Large
How Did You Hear About This Event
*
Past Rider
Friend
Flyer
Email
Road Sign
TV/Radio
Newspaper
UCHS is not responsible for any damages, accidents, or physical harm to the rider or passenger, motorcycle, or any other property that might occur during this event. Photographs may be taken during the event. I have read and agree with the
Waiver and Release of Liability
form.
Registrant Agreement
*
I acknowledge the above statement to be true.
Total
$0.00
Comments
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