2008 Bikefest on the Grand

Poker Run Show Registration

Saturday, October 11th, 2008

Registration 8AM-10AM

(Last bike out at 11AM)

(Poker hand must be turned in by 2PM to be eligible to win)

 

RIDER NAME: First: _____________________ MI: _____ Last: ______________________

Address: __________________________________ City: __________________________

ST: _______________ Zip Code: _______________

PASSENGER: First: ______________________ MI: _____ Last: ______________________

Address: __________________________________ City: __________________________

ST: _______________ Zip Code: _______________

M/C Brand/Model: ____________________________________Year:________________

VIN#:_____________________________________

Insurance Co: __________________________ Policy #:__________________________

M/C Club (If Any):_________________________________________________________

 

****Waiver****

Rider and Passenger do hereby hold harmless Conestoga Grand River Campground, Inc., and all event sponsors and volunteers in conjunction with this event form any loss, damage, injury, claims, causes of action, or payment resulting form direct or indirect participation in this event, including losses occurring from negligence or gross negligence during this event, including but not limited to the cost of defending any said claims or cause of action during their participation directly or indirectly in this event, including attorney’s fees. Rider and Passenger agree to obey all applicable Federal and State laws and local ordinances during their participation directly or indirectly during this event.

 

Rider’s Signature: ___________________________________ Date: ________________

Passenger Signature: _________________________________

Date: ________________

By signing this Rider and Passenger acknowledge they have read the above waiver and agree to the terms thereof.

 

Print form, fill out and mail before September 30th with $10.00 check or money order made out to Conestoga Grand River Campground to: P.O. Box 79 Coopersville MI 49404 OR bring to event and register by 10AM Saturday, October 11^th

 

First 25 Poker Run Registrations will receive a free Official Bikefest on the Grand Bandanna. Bikers who pre-register by mail may pick up their Poker Run Packets beginning at 6:00 PM Friday, October 10. First prize is $100 cash and an Official Bikefest T-Shirt, and trophy. Second prize is $75 and an official Bike fest T-Shirt. Awards will be presented at the end of the Poker Run (approximately 4:00 PM). NOTE: It is recommended that Poker Run riders pre-purchase tickets before the Run begins.