9th Annual Motorcycle Ride   

to Benefit C.O.P.S.

CONCERNS of POLICE SURVIVORS

 

Hosted by Maryland Fraternal Order of Police

 

Sunday, June 22, 2008

 

Registration at the Following Staging Locations:

Eastern Performance  - Gambrills, MD.  9:00 – 10:30am

Harley - Davidson of Maryland  - Elkridge, MD.  10:00 – 11:00am

Harley - Davidson of Frederick  - Frederick, MD.  9:00 - 11:00am

Harley - Davidson of Baltimore - Baltimore, MD.    9:00 - 10:30am

Harley - Davidson of Annapolis - Annapolis, MD.  9:00 - 11:00am

Harley - Davidson of Washington - Ft. Washington, MD.  8:30 – 9;30am

Harley - Davidson of Rockville - Gaithersburg, MD.  9:00 - 11:00am

Red Eye Dock Bar – Kent Island, MD.  9:00 - 10:00am

Chesapeake Harley - Davidson – Darlington, MD.  9:00 – 10:00am

Old Glory Harley –Davidson – Laurel, MD.   9:00 – 11:00am

Renegade Classics –Prince  Frederick, MD.  8:30-10:00am

Harley Davidson Shop of Ocean City, MD.  (registration Red Eye Dock Bar)

 

All Riders Will be Escorted to Howard County Fairgrounds

2210 Fairgrounds Road, West Friendship, MD

for Lunch, Sponsored by The Outback Steakhouse  & Run T-Shirt

Minimum Pledge Donation of $25.00 per Person Required.

 

1st, 2nd and 3rd Place Prizes for Riders Collecting Most in Pledges!

Door Prizes,  50/50,  & Vendors

 

All Riders & All Motorcycles WELCOME!!

For More Info, Call Stephanie  Zimmerman 301-748-8556 or Donnie Bell 240-508-0497

www.mdcops.org

Make Checks Payable to “C.O.P.S. Maryland Chapter”

 

Rain Date: Sunday, June 29, 2008

 

 

 

 

9th ANNUAL COPS RIDE

REGISTRATION FORM &

WAIVER OF LIABILITY AND RESPONSIBILITY

 

(Form and Money due at the time of Registration on Ride Day)

Name:

 

 

Address:

 

 

Phone #:

 

 

E-Mail:

 

 

Donation

Amount:

 

 

 

EVENT:  9th Annual COPS Ride                                    DATE:  June 22, 2008

                 To Benefit Concerns of Police Survivors           (Rain Date:  June 29, 2008)

 

            The undersigned (on my own behalf and of my heirs, personal representatives, successors and assigns) for and in consideration of the opportunity to participate in the 9th Annual COPS Ride to benefit the Concerns of Police Survivors, and for other valuable consideration the receipt and adequacy of which are hereby acknowledged releases and discharges the respective officers, directors, employees, agents, donee, beneficiaries, benefactors, from any and all claims and demands rights and causes of action of any kind whatsoever which I now have or later may have in any way resulting from, arising out of, or in connection with my participation in said event.

 

            This release extends to any and all claims I have or may have or as the parent or guardian of minor child(ren), against the released parties whether such claims result from negligence (except willful neglect) on the part of any or all of the released parties with respect to the event or with respect to the conditions, qualifications, instructions, rules or procedures under which the event is conducted or from any other cause.

 

            I am experienced in and familiar with the operation of motorcycles and or motor vehicles and fully understand the risks and dangers inherent in this event.  I am voluntarily participating, or allowing the minor child(ren) for whom I have legal responsibility, voluntarily participate in the event, and I expressly agree to assume the entire risk of any accidents or personal injury, including death, which I or the said minor child(ren) might suffer as a result of my/own participation in the event.

 

            THIS IS A RELEASE - READ IT CAREFULLY BEFORE SIGNING…By signing this RELEASE, I certify that I have read this RELEASE and fully understand it, and that I am not relying on any statements or representations of anyone released thereby.

 

PRINTED NAME:

SIGNED NAME:

M/C:

CAR:

DATE: