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Operation SOS Ride Registration

This online ride registration form is for use with online credit/debit card payment only.
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If you wish to send a check, Please use the downloadable mail-in form.
Cost is $25/bike $15/passenger


Rider/Driver Information *indicates a required field

 
*Last Name
*First Name
 

*Street Address

*City   *State   *Zip   

*Email

*Phone Cell

Emergency Contact Emergency Phone

Motorcycle Car/Truck

Waiver Agreement (required)
*I have read and understand the RELEASE AND WAIVER OF LIABILITY, ASSUMPTION OF RISK, AND INDEMNITY AND PARENTAL CONSENT AGREEMENT

Passenger Information
 
Last Name       
First Name
 

Street Address

City   State   Zip   

Email

Phone Cell

Emergency Contact Emergency Phone

Waiver Agreement (required)
*I have read and understand the RELEASE AND WAIVER OF LIABILITY, ASSUMPTION OF RISK, AND INDEMNITY AND PARENTAL CONSENT AGREEMENT

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Please enter the correct result to continue.

None of the information collected will be provided to any other source.
You will be asked to check out at the next screen. cc logos