Entry fee: $25.00 Solo / $40 Couple - payable to GLMC
Mail to: GLMC, 1037 1st ave NE, Watertown, SD 57201
Enter any time. Rider packets will be mailed April 1st 2008
Rider numbers will be
assigned in the order they are received.
Rider Name:
_________________________________________________
Passenger Name (if
applicable): _________________________________
Address:
______________________________________________
City, State &
Zip: ________________________________________
Email: _______________________________________________
AMA #(’s):
______________________________________________
Shirt Size:
__________________________________________________
(Note **Entries received AFTER March 1st
will receive an XL sized shirt automatically**)
I hereby give up all my rights to sue or make any claim for
damages due to negligence or any other reason whatsoever against the Glacial Lakes Motorcycle Club, the promoters,
sponsors and all other persons, participants or organizations conducting or
connected with this event for injury to property or person I may suffer,
including crippling injury or death, while participating in the event and while
upon event premises.
I know the risks of danger to myself and my property while
preparing for and participating in the event and while upon the event premises
and, relying upon my own judgment and ability, assume all such risks of loss
and hereby agree to reimburse all cost to those persons or organizations
connected with this event for damages incurred as a result of my negligence.
Rider Signature:____________________________________
Passenger (if
applicable):____________________________________