Entry fee: $25.00 per Participant - payable to GLMC
Mail to: GLMC, 26537 - 450 Avenue, Monroe, SD 57047
Enter any time. Rider packets will be mailed March 31, 2011
Rider Name:
_________________________________________________
Address:
______________________________________________
City, State &
Zip: ________________________________________
Email: _______________________________________________
GLMC Rider #(s):
______________________________________________
Shirt Size:
__________________________________________________
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):____________________________________