BRO Ride Registration Form 2024
Welcome to the BRO Ride 2024
Name of Driver / Rider
*
First Name
Last Name
Phone Number
*
Email
*
example@example.com
Signature
*
Double Rider ONLY (if you have a passenger)
First Name
Last Name
Signature
Name of minor (if applicable)
First Name
Last Name
THIS IS A WAIVER AND RELEASE OF LIABILITY, INDEMNIFICATION, AND CONSENT TO MEDICAL ATTENTION. I HAVE READ THIS WAIVER,RELEASE OF LIABILITY, INDEMNIFICATION, AND CONSENT TO MEDICAL ATTENTION. I UNDERSTAND THAT I HAVE GIVEN UP SUBSTANTIAL RIGHTS BY SIGNING IT. I AM SIGNING THIS WAIVER, RELEASE OF LIABILITY, INDEMNIFICATION, AND CONSENT TO MEDICAL ATTENTION VOLUNTARILY ON BEHALF OF MYSELF AND ANY MINOR(S) ACCOMPANYING ME.
*
YES
Should be Empty: