Registration Sept 20, 2008; Separate Rider and Passenger Form Required

Last name *
First name *
email *
Street Address *
City *
State/Province *
Zip or Mailing Code *
Phone Contact *
Fire Agency Affiliation *
If IAFF, Local # (not required)
Fire MC Club Affiliation (not required)
Do you need to pre-ship Class A Uniform? *	Yes No
9/18/08 Thursday Mtn Ride? *	Yes No
9/19/08 Fri Mtn Ride? *	Yes No
Motorcycle Service to be scheduled?	Yes No
Number of family members staying in Lakewood
Any other info or questions you wish a return email on?
I have read and agree to the following: "To some extent, all motor vehicles are inherently dangerous. The participants should take part in a motorcycle event based on their own assessment of their abilities. Regardless of the state law, the AMA urges the participant to wear a helmet and other appropriate safety apparel. The Association also urges the participant to receive professional instruction before operating a motorcycle. The promoter does not provide medical insurance. We urge the participant not to operate their motorcycle without personal medical coverage. Any participant who doubts their personal ability to participate in an event, feels they have not adequately prepared themselves and their equipment, questions the condition and safety of local public highways, believes their personal insurance coverages are not adequate to compensate them for any loss that might occur, are urged to notify the promoter who will immediately refund their entry fee." *	Yes No
I have read the following note: "MINORS: All participants under the age of 18 MUST have a separate signed AMA consent by PARENT OR LEGAL GUARDIAN to ride. Notarized permission slips (original) with PARENT OR LEGAL GUARDIAN permission for this event and date are acceptable." *	Yes No