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Hogs4Hokies

 

 

4-29-2017

32 Victims Memorial Endowments Fund

 

 

HOGS4HOKIES

Saturday, April 29, 2017

Ride Registration Form

 

 

Online Registration has closed. You can still register for the ride at one of the Breakfast or Lunch Stops, Registration on the day of the ride is $40.

You can print this form and register on ride day. H4H Reg Form

Registrations to Date


First Name:

Last Name:

Address:

City:

State:

Zip:

Cell Phone:

Email:

Rider type?

Rider/Operator Passenger Cage

Where will you be joining the ride?

Manassas Hampton Richmond Shenandoah

Lynchburg Brugh's Mill Christiansburg Not Riding

Where will you be having lunch?

Shenandoah Lynchburg Not Eating Lunch

I certify that I am above 18 years old by the date of the ride.

T-Shirt Size (while supplies last): S M L XL XXL XXXL

Where did you hear about "hogs4hokies"?

Emergency Contact:

Emergency Phone:

Waiver: By clicking below, I acknowledge that I am over age 18 and I understand that participating in this event is inherently dangerous and I hereby understand that this may result in injury or death and that I hold hogs4hokies its organizers, sponsors, donors, families, relatives, Shenandoah Valley HD, Shakers, Quaker Steak, River Bend Grill, Chick-fil-A, and anyone else involved in organizing, sponsoring and/or coordinating this event (the "released parties"), harmless of any and all liability or responsibility. I UNDERSTAND THAT THIS MEANS THAT I AGREE THAT I WILL NOT SUE THE RELEASED PARTIES FOR ANY INJURY OR PROPERTY DAMAGE ARISING OUT OF THIS EVENT.
Participants under 18 must provide a completed registration form, $32 donation and waiver signed by responsible adult.

I have read and understand the waiver above. Yes


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