Rider Registration 2023

Trouble the Dog Motorcycle Ride

September 24, 2023 (rain or shine)
REGISTRATION FORM
Rider Name*

First NameLast Name
Rider Address*

Street Address

Street Address Line 2

CityState / Province

Postal / Zip CodeCountry
Rider Phone*

Area CodePhone Number
Rider Email*
Passenger Name

PrefixFirst NameLast Name
Passenger Address

Street Address

Street Address Line 2

CityState / Province

Postal / Zip CodeCountry
Passenger Phone

Area CodePhone Number
Passenger Email
Donation:*

Rider (suggested minimum: $20)Passenger (suggested minimum: $10)
Dollar total from above:*
Please bring cash or a check in this amount (made out to The Kennek Foundation) to the event on 10/2
By signing below, you agree to the following:

"I hereby give up all my rights to sue or make any claim for damages due to negligence or any other reason whatsoever against The Kennek Foundation and/or any other related organizations, individuals, sponsors and all other persons connected with this event. My motorcycle meets Commonwealth of Massachusetts noise and registration requirements and I know the risks involved in riding."
Rider Signature*
Passenger Signature (or signature of minor passenger's parent or guardian)
Is passenger a minor?

NoYes
THE KENNEK FOUNDATION ADHERES TO ALL CDC AND LOCAL GUIDELINES.
Should be Empty:

Trouble the Dog Motorcycle Ride