Pre Register CVMA 224 Ride

Please fill out pre registration in its entirety. You Must Pay BEFORE you submit form, DO NOT Submit form without paying It will not be processed.

* Indicates required field

Rider Name *

First

Last

Gender For Shirt *

Male Female

Shirt Size *

Passenger Name *

First

Last

Gender for shirt *

Male Female

Shirt Size *

Address *

Line 1

Line 2

City

State

Zip Code

Country

Phone Number Rider *

Phone Number Passenger *

In Case of Emergency, Name *

First

Last

ICE Phone Number *

Email *

ADDITIONAL SHIRT? *

Male Female

Shirt Size *

Comment *

WAIVER: In Consideration of my entry in the Combat Veterans Motorcycle Association® Chapter 22-4 Annual Ride, I herby waive, release and discharge any and all claims for damages, injury and property damage, which I or my successors may have, or which may here after occur to me as a result of my participation in this event. This release is intended to discharge in advance , the promoters, sponsors and all municipalities and public entities (and their respective agents and employees) from and against any and all liability arising out of or connected in any way with my participation in the event. I understand the risks involved in participating in such an event. I hereby agree to assume those risks and to release and hold harmless all of the persons, or entities or anyone affiliated with those mentioned.

I agree to the waiver above *

Rider Passenger

I agree to receiving marketing and promotional materials

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