| June 11th through 15th, 2008 (Wed, Thur, Fri, Sat, & Sun) Please complete this form, and mail it to: Hard Chargers LE MC P.O. Box 389 Somersworth, NH 03878 Registration information: Name: Last__________________________First_______________________ Address: Street______________________________State_______Zip_______ Tel.#_______________________________Cell#__________________________ Email____________________________________________________________ Motorcycle Club:(if any)_____________________________________________ Passenger: Last_________________________First:______________________ Address: Street______________________________State_______Zip_______ Tel.#_______________________________Cell#__________________________ Email____________________________________________________________ Motorcycle Club:(if any)_____________________________________________ All drivers and passengers who register must sign the following release of liability form. This is a Release and Indemnity Agreement. Please read before signing. In order for this registration form to be accepted, for myself, my heirs, Executors and Administrators, waive and release any claims that I may have against Hard Chargers Law Enforcement Motorcycle Club, the promoters, sponsors, and all other persons, participants, motorcycle clubs, chapters or organizations conducting or connected with this event for any injury or property or person that may be suffered by me. I assume all risks associated with participating in this event. This is a Release. Signature of Driver_____________________________________Date______________ Signature of Passenger _________________________________Date______________ Or... Email this registration form to nelemr@hardchargersmotorcycleclub.com |
| NEW ENGLAND LAW ENFORCEMENT MOTORCYCLE RALLY Hosted by Hard Chargers LE MC New Hampshire Chapter |