Ride Registration Form

Operation SOS Ride Registration
This online ride registration form is for use with online credit/debit card payment only. If you wish to send a check, Please use the downloadable mail-in form. Cost is $20/bike $10/passenger *Helmets Required*
Rider Information *indicates a required field
	*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
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 None of the information collected will be provided to any other source. You will be asked to check out at the next screen.

Operation SOS Ride Registration