Cincinnati Center for Autism First Annual Charity Ride

June 21, 2009
$25 per bike pre-registration or $35 per bike day of ride
Download the Flyer

First Name:*
Last Name:*
Address:*
City:*
State:*
Zip/Postal Code:*
Drivers License Number:*
Email:*
Passenger First Name:
Passenger Last Name:

Waiver of Liability
I / we, the undersigned, agree to indemnify and hold harmless, the Cincinnati Center For Autism, its employees and officers and all other sponsors and supporters collectively, from all cost, expense, and liability arising out of my and/or our person(s) or property(s) neglectful action(s) which may be caused by our participation in this event or presence at this event, and hereby assume liability for any loss or damage from such event. I certify that I am an experienced motorcyclist holding a valid motorcycle endorsement on my drivers license. I am aware of the dangers and risks inherent to motorcycle operations including the risk of serious bodily injury or death to motorcycle operators and passengers. I affirm that I have liability insurance covering my operations of my motorcycle; that other motorcyclist are participating in such event and their operations may constitute a hazard to me or my motorcycle and the benefit for the Cincinnati Center For Autism, it’s sponsors, supporters and employees of all the above are entitled to rely upon the representations made by me herein.

Download Registration / Waiver of Liability

I have read and understand the Waiver of Liability printed above.*

To submit your $25 payment, please click the Submit button below. You will be redirected to PayPal. Thanks!