19th Annual

C.O.P.S. Ride

MARYLAND CHAPTER OF

CONCERNS OF POLICE SURVIVORS

Hosted by Maryland Fraternal Order of Police

Sunday, June 10, 2018

Registration at the Following Staging Locations:

Old Glory Harley - Davidson - Laurel, MD - 9:00 - 11:00am

Harley - Davidson of Frederick - Frederick, MD - 9:00 - 10:00am

Harley-Davidson of Baltimore, MD - 8:30 – 10:00am

Rommel Harley - Davidson Annapolis - Annapolis, MD - 9:00 - 11:00am

District Harley - Davidson - Gaithersburg, MD - 9:00 - 10:00am

Red Eye’s Dock Bar - Kent Island, MD - 9:00 - 10:00am

Green Turtle Restaurant – Salisbury, MD - 8:00 – 9:00am

All American Harley-Davidson – Hughesville, MD 9:00 – 10:00am

Harley-Davidson of Washington – Ft. Washington, MD 9:00 – 10:00am

Eisenhauer’s Chesapeake Harley-Davidson – Darlington, MD 8:30 – 9:30am

All Riders Will be Escorted to F.O.P. Lodge #89

2905 Old Largo Road, Upper Marlboro, MD

For Lunch and COPS Ride Tee-Shirt

Minimum Donation of $25.00 per Person Required.

Slow-Ride Competition with Cash Prizes

Door Prizes, 50/50 & Vendors

All Riders & All Motorcycles WELCOME !!

For More Info, Call Earl Kratsch 410-442-8260

19th ANNUAL COPS RIDE

June 10, 2018

REGISTRATION FORM &

WAIVER OF LIABILITY AND RESPONSIBILITY

(Form and Money due at the time of Registration on Ride Day)

Name:
Address:
Phone #:
E-Mail:
Donation
Amount:

EVENT: 19th Annual COPS Ride DATE: June 10, 2018

To Benefit the Maryland Chapter of Concerns of Police Survivors

The undersigned (on my own behalf and of my heirs, personal representatives, successors and assigns) for and in consideration of the opportunity to participate in the 19th Annual COPS Ride to benefit the Maryland Chapter of Concerns of Police Survivors, and for other valuable consideration the receipt and adequacy of which are hereby acknowledged releases and discharges the respective officers, directors, employees, agents, donee, beneficiaries, benefactors, from any and all claims and demands rights and causes of action of any kind whatsoever which I now have or later may have in any way resulting from, arising out of, or in connection with my participation in said event.

This release extends to any and all claims I have or may have or as the parent or guardian of minor child(ren), against the released parties whether such claims result from negligence (except willful neglect) on the part of any or all of the released parties with respect to the event or with respect to the conditions, qualifications, instructions, rules or procedures under which the event is conducted or from any other cause.

I am experienced in and familiar with the operation of motorcycles and or motor vehicles and fully understand the risks and dangers inherent in this event. I am voluntarily participating, or allowing the minor child(ren) for whom I have legal responsibility, voluntarily participate in the event, and I expressly agree to assume the entire risk of any accidents or personal injury, including death, which I or the said minor child(ren) might suffer as a result of my/own participation in the event.

THIS IS A RELEASE - READ IT CAREFULLY BEFORE SIGNING…By signing this RELEASE, I certify that I have read this RELEASE and fully understand it, and that I am not relying on any statements or representations of anyone released thereby.

PRINTED NAME: / SIGNED NAME: