2008 Hiawatha Rally
PRE-REGISTRATION FORM
Rider's Name __________________________________________________________
Address
_______________________________________________________________
Emergency Contact Name & Phone # _______________________________________________________________________
Passenger’s Name # 1 ____________________________________________________
Passenger’s Name # 2 ____________________________________________________
Email Address
_________________________________________________________
I hereby waive my rights to sue or make any
claim against the BMWMOCM Club, Board members, Officers and all other persons
or organizations conducting or connected with this event for any injury or
property damage I may suffer, including injury or death whether such injuries
arise while participating in or preparing for the Hiawatha Rally. I know the
risks of danger to myself and my property and assume all such risks of loss,
and hereby agree to reimburse all costs to those persons or organizations
connected with said event for damages incurred as a result of my negligence.
Rider’s Signature ______________________________________________________
Passenger’s signature ____________________________________________________
Passenger’s signature ___________________________________________________
Guardian’s signature (If passenger under age 16) _______________________________
Pre-register (Postmarked on or before May 16) Adults- $30;
Children (7-15)) - $17 At the Gate - Adults $35 Children (7-15) $20 (Age 6 and under are free)
# Of Adults ______ X $30 = $_______
# Of Children ______X $17 = _______
Total Amount Enclosed $________ (Make check payable to BMWMOCM)
Mail to:
2008 Hiawatha Rally