New Hackensack Fire Company Benefit Ride
Bikers Pre-Registration Form
Benefit Ride Rules
1.Riders shall check in between 9:30 am and 1100 am , Saturday August 9th,2014 . The last bike shall leave by 11:30 am .
2. Riders shall obey all traffic laws and posted speed limits while participating in the Benefit Ride .
3. All entrants in the Benefit Ride WILL sign an Agreement of Liability Wavier at time of registration .
4. All riders shall follow the Benefit Ride’s Route no shortcuts please .
5. NO ALCOHOLIC BEVERAGES WILL BE ALLOWED ON PROPERTY .
Print Name______
Address______
City______State______Zip______
Phone Number______Rider ID______
(to be filled in by NKFD )
E-Mail Address______
Fee: $ 25.00 & $10.00 for passenger—Total Enclosed______
Date Rcvd:______( to be filled in by NKFD )
Make Checks Payable& Mail to : New Hackensack Fire Company
Att: Benefit Ride
217 Myers Corners Road
Wappingers Falls NY 125890
______
Agreement of Liability Waiver
I hearby fully release and discharge the New Hackensack Fire Company , the New Hackensack Fire District , their officers , members , employees , and any agents and servants from any and all claims from any injuries , damage , and /or loss which I may accrue to me on account of my participation in the New Hackensack Fire Company 8th Annual Benefit Ride . I have read and fully understand the above Benefit Ride Rules and information .
Signature______Date______