Hogs4Hokies

4-27-2019

until 2019 Hogs4Hokies

Annual Spirit Ride

32 Memorial Endowments Fund

HOGS4HOKIES

Saturday, April 27, 2019

Ride Registration Form

Registrations to Date

Please fill out one registration form below for each rider/passenger or car participant and be sure to review the waiver section before submitting.

There is a $32.00 minimum donation per person (amount included with registration).

This year will include Special Beanie shown below for all Pre-Registrations!!!

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.

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

Click Submit below to submit your Registration form and be redirected to pay online with PayPal