Register By Mail

Print the following form, fill it out completely, and drop in the mail to the Ride Office.  If you need assistance, please call the office.

Ride Across MD
9123 Route 108
Suite 201W
Columbia, MD 21045
410-992-9999

 

10th Anniversary Ride Across Maryland

REGISTRATION FORM

Please print then fill out the form below: 

Fields with the * denote required information

Select your shirt type:*

T-Shirt   Men's Tank   Ladies Tank

Tell us your shirt size:*(ex. Small)

First Name:*

Middle Initial:

Last Name:*

Email:*

Address Line 1:*

Address Line 2:

City:*

State:*

ZIP/Postal Code:*

Phone:*

Cell Phone:

Birth Date:*

(mm/dd/yyyy)

How did you hear about us?

  

  

Please tell us your point of departure:*

Nickname:

Are you a breast cancer survivor?

Yes               No

PLEASE READ, SIGN and DATE THE FOLLOWING STATEMENT

I understand that there are many inherent risks associated with motorcycles and I agree to assume any and all of those risks for myself, my heirs, assigns and family members.  I hereby release and hold harmless the Ride Across Maryland Foundation, Inc. (RAM), its officers, members, volunteers, sponsors, advertisers, and agents of any and all liability whatsoever, including any claim for negligence or negligent acts, which may arise out of my participation in this Ride and all activities associated with the ride.  The RAM Foundation is not responsible for any damage to or loss of property, or injury, illness, expenses, whether known or unanticipated.  This release shall also serve as a release agreement for all family members, including minors, who accompany me.  I further understand that my use of drugs or alcohol while operating my motorcycle will result in immediate termination of my participation in the Ride.

 

Signed: __________________________________ Date: ___________________