Saturday, June 26, 2010
| Lunch will be provided to all riders by GJSA and prepared by Steel Kookin BBQ from Cartersville, GA |
| Check in at 9 a.m. Kick stands up at 10 a.m. sharp! Return approx. 1 p.m. $15 for single riders $25 for rider and passenger |
Rider
Passenger
Address City/State Zip
Email Phone #
Rider Signature Date
Passenger Signature Date
I, the above signer(s), do hereby agree to indemnify and hold harmless Georgia Juvenile Services Association against ant loss or damage to any personal property
or personal injury to any person to and from and during GJSA Bike Rally. I, for myself and on behalf of my/our heirs, assigns, personal representatives and next
of kin, HEREBY RELEASE THE GEORGIA JUVENILE SERVICES ASSOCIATION, their officers, officials, agents, and/or employees, other participants, sponsoring
agencies, sponsors, advertisers, and, if applicable, owners and lessors of premises used to conduct the event ("Releasees"), WITH RESPECT TO ANY AND ALL
INJURY, DISABILITY, DEATH, or loss or damage to person or property incident to my involvement or participation in these programs, WHETHER ARISING FROM
THE NEGLIGENCE OF THE RELEASEES OR OTHERWISE, to the fullest extent permitted by law.
Passenger
Address City/State Zip
Email Phone #
Rider Signature Date
Passenger Signature Date
I, the above signer(s), do hereby agree to indemnify and hold harmless Georgia Juvenile Services Association against ant loss or damage to any personal property
or personal injury to any person to and from and during GJSA Bike Rally. I, for myself and on behalf of my/our heirs, assigns, personal representatives and next
of kin, HEREBY RELEASE THE GEORGIA JUVENILE SERVICES ASSOCIATION, their officers, officials, agents, and/or employees, other participants, sponsoring
agencies, sponsors, advertisers, and, if applicable, owners and lessors of premises used to conduct the event ("Releasees"), WITH RESPECT TO ANY AND ALL
INJURY, DISABILITY, DEATH, or loss or damage to person or property incident to my involvement or participation in these programs, WHETHER ARISING FROM
THE NEGLIGENCE OF THE RELEASEES OR OTHERWISE, to the fullest extent permitted by law.
| Registration deadline June 19th! For more information, contact: Amanda Tant @ (770) 387-3745 |
| Ride begin at Harley Davidson of Cartersville 2281 Hwy 411 NE Cartersville, GA 30121 cruzin' to Mountain Creek Harley Davidson Dalton and back to Harley of Cartersville |
