“MID-ATLANTIC SCOOTER RALLY SPRING 2010 REGISTRATION”
        Thank you for joining us for our annual Spring Rally. In order to keep an accounting of who is attending, how many are coming, where you are coming from, year, make and model of your ride and a way to get in contact with you, we have developed this registration. It is vitally important to provide a contact method such as an email and phone number. We would prefer to have at least the email for the convenience of contacting everyone at one time rather than make several inconvenient and costly phone calls. Additionally, we are asking for phone numbers in the event that we need to contact you immediately or even during the rally, if need be. If you are attending with another person that has their own vehicle, please have that other person register separately. If you are riding with a passenger please list the passenger’s name as well and, if you wish, you can provide their phone and/or email. If you have any comments or questions you can list them below or contact me directly at urdmann@comcast.net or on my cell 301-908-6369.  
“Disclaimer”
THIS IS NOT AN ORGANIZED EVENT. SHOW UP AND RIDE AT YOUR OWN RISK. EACH RIDER/OPERATOR IS SOLELY RESPONSIBLE FOR THEIR SAFETY, THEIR PASSENGER'S SAFETY AND THE SAFETY OF THE GENERAL PUBLIC.  IF YOU CHOOSE TO PARTICIPATE, YOU ARE DOING SO AT YOUR OWN RISK. 
By completing this registration I acknowledge that I have read the above disclaimer and agree that I and my passenger (if any) are riding at my (our) own risk.

 

State
Telephone Number
Ride Year
Ride Make
Ride Model
Passenger's First Name
Passenger's Last Name
Passenger's Email
Passenger's Telephone
Comments