Ride For Roy's Boys - Charity Ride Registration

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Motorcycle Charity Ride to benefit Shining Light School for Boys

Email *

Name of Driver *

Name of Passenger

Email Address *

Mailing Address *

Would you like to be added to our email/mailing list?

Yes

Years participated in ride?

First Year

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Where is your Starting Point? *

Cox's Double Eagle Harley Davidson 7540 NC Hwy 15-501 South, Pinehurst NC 27376

Smokin' Harley Davidson 3441 Myer Lee Dr, Winston-Salem, NC 27101

Down Home Harley-Davidson 2215 Hanford Rd, Burlington, NC 27215

Tilley Harley-Davidson of Salisbury 653 Bendix Dr, Salisbury, NC 28146

Other:

I verify that I am 18 years of age or older. *

Yes

In signing this document, I represent that I am fully knowledgeable of the dangers and hazards associated with riding motorcycles. I certify that I am duly licensed and competent to operate a motorcycle in a safe manner,and the vehicle is in a safe operating condition. I will be riding on public highways and am solely responsible to determine the speed and operational characteristics of my motorcycle while participating in the ride. I hereby release and hold harmless Shining Light School for Boys executives or members, against any and all claims, causes of action, or any other liability of any kind arising from my activity of riding by motorcycle.

Driver Signature *

Passenger Signature *

A copy of your responses will be emailed to the address you provided.

Submit

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