Driver name: (driver registration required)

Last _____________________ Middle I. _____ First _________________________

Street _____________________________________________ Apt. ____________

City ______________________________ State _____________ Zip ___________

Phone ____________________________ E-mail ___________________________

Date of Birth _______________________ Miles driven to Start of Run ____________

Year & Make of Cycle _________________________________________________

Emergency Contact: ___________________________ Phone _________________

Passenger Name:

Last _____________________ Middle I. _____ First _________________________

Date of Birth _______________________

Emergency Contact: ___________________________ Phone _________________

Registration Bike Fee - $10 with a book bag, $15.00 without (cash only please)
Backpack: ___ Yes, ___ No

Participants agree to follow a designated course and stay with the group. All Scavenger Hunt answer sheets must be turned in at the end of the route to be eligible for prize drawings. Participants in this motorcycle run are not granted any direct or implied authority to operate their vehicle in violation of any state or local traffic codes. This event is not a race, speed limits and normal safety rules for the operation of a motorcycle in traffic should be followed at all times. The operators of this event assume no liability for any damage or injury that results from participation in this event. All prizes will be awarded at the end of the ride. Thank you for your support!

I agree to these terms: Driver Signature ___________________________________

Alliance Friends Church, 1307 W State Street, Alliance, Ohio 44601, 330- 823-4210