ROUTE 66 FREEDOM RIDE & FLIGHT
REGISTRATION & LIABILITY RELEASE FORM
In consideration of the acceptance of my application for entry in the Route 66 Freedom Ride & Flight motorcycle Ride on July 28/29/30, 2017. I/we hereby waive, release and discharge any and all claims for damages or death, personal injury or property damage which I may have, or which may hereafter accrue to me, as a result of my participation in said event. This release is intended to discharge in advance the promoters of the Route 66 Freedom Ride & Flight motorcycle Ride, City of Gallup, Gallup-McKinley County Chamber of Commerce, as well as, any sponsors or affiliated organizations from and against any and all liability arising out of, or connected in any way with my participation in said event, even though that liability may arise due to negligence or carelessness on the part of the persons or entities mentioned above
I further understand that serious accidents occasionally occur during motorcycle riding; those participants in motorcycle riding and runs occasionally suffer mortal or serious personal injuries and/or property damage as a consequence thereof. Knowing the risks of motorcycle riding, nevertheless, I hereby agree to assume those risks and to release and hold harmless all of the persons or entities mentioned above whom through negligence or carelessness might otherwise be liable to me or my heirs and assigns.
I further agree to obey all motor vehicle laws while participating in the event, including those pertaining to drinking while operating a motor vehicle.
Name (Print): _________________________________________ Date:____________________
Signature of Entrant: ____________________________________________________________
Passenger Name (Print): _____________________________________ Date:_______________
Signature of Passenger: __________________________________________________________
Amount Paid:__________ Pre-register: Yes No Method: Email Website Gallup Chamber
Payment method: Cash_____ Check_____ Money Order_____ Credit Card_____
Starting Location: Glenrio ______ Santa Rosa ______ Moriarty______ Grants______