Address:

City:

Conact Info:

TDL#:

Emergency Contact:

Bike Make:

Passenger Name:

Passenger Address:

City:

Phone:

Bike Driver Name:

ST:

Zip:

Insurance Card:

Phone:

email:

Name Relationship:

Model:

ST:

Zip:

Conact Info:

Phone:

email:

Emergency Contact:

Name Relationship:

Phone:

All riders and passengers will be required to sign a standard concent waiver form upon arriving at the AAR Bike Rally

Fundraiser. All riders must drive a safe motorcycle that has a current license, registration, and inspection sticker. In consideration of being permitted to participate in the AAR Motorcycle Fundraiser, the undersigned assumes full responsibility for risk of bodily injury, death, or property damage during the course of the fundraiser. The undersigned has read and voluntarily signs the release and waiver of liability and indemnity agreement, and further agrees that no oral representations, statements, or inducement apart from the foregoing written agreement have been made.

PAYMENT MUST BE SUBMITTED TO PAYPAL

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Submit Form To AAR

Motorcycle Rally

Registration Fee $50.00 Passenger Fee $10.00

T-Shirt Style For Driver: Would you like a  Crew shirt or Tank shirt

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