MEMBERSHIP (PARTICIPANT) APPLICATION AND RELEASE FORM

Veterans of Foreign Wars of the United States
MOTORCYCLE RIDERS GROUPS (VFWRG)
MEMBERSHIP (PARTICIPANT) APPLICATION AND RELEASE FORM
PREREQUISITE
You must be the legally registered owner of a street-legal motorcycle (500CC minimum) and must possess a valid motorcycle driver's license in your state of residence, and maintain proper levels of insurance; or passenger thereto; or non-riding persons volunteering on behalf of the group in an active supporting role. You must be a member in good standing of the Veterans of Foreign Wars (VFW VFW Auxiliary. or an invited participant.
Riders Group Information*

PostDistrictDepartment
VFW RIDERS GROUP NAME*
Application Type*

Rider (Operator)PassengerNon-Riding Volunteer
PERSONAL INFORMATION
NAME*
STREET ADDRESS*
CITY*
STATE*
ZIP CODE*
PHONE*
EMAIL ADDRESS
example@example.com
DATE OF BIRTH*

MonthDayYear
Date
VFW Inforation

VFW or Auxiliary MemberLife MemberAnnual Member
MEMBERSHIP #*
POST/AUXILIARY No.*
Invited Participant?

Yes
SPONSOR (VFW or AUXILIARY MEMBER)
MEMBERSHIP
POST/AUXILIARY No.
Iagree that the Veterans of Foreign Wars (VFW) of the United States, the VFW Auxiliary, and the Veterans of Foreign Wars Riders Group (VFWRG) unit sponsored by any Post, District, or Department of the Veterans of Foreign Wars, and their respective officers, directors, employees, andagents (hereinafter. the "RELEASED PARTIES") shall not be liable or responsible for injury to me (including paralysis or death) or damage tomy property occurring during any VFW or VFWRG unit activities and resulting from acts or omissions occurring during the performance of the duties of the Released Parties, even where the damage or injury is caused by negligence (except willful neglect I understand and agree that all VFWRG members and their guests participate voluntarily and at their own risk in all VFW and VFWRG activities and I assume all risks of injury anddamage arising out of the conduct of such activities. I release and hold the "RELEASED PARTIES" harmless for any injury or loss to my person or property which may result from participation in VFW and/or VFWRG activities and EVENT(S I UNDERSTAND THIS MEANS
THIS IS A RELEASE OF LIABILITY FORM, READ BEFORE SIGNING
THAT 1 AGREE NOT TO SUE OR BRING ANY LEGAL ACTION AGAINST THE "RELEASED PARTIES" FOR ANY INJURY OR RESULTING DAMAGE TO MYSELF OR MY PROPERTY ARISING FROM, OR IN CONNECTION WITH THE PERFORMANCE OF THEIR RIDER GROUP DUTIES IN SPONSORING. PLANNING OR CONDUCTING SAID EVENT(S WAIVER OF RIGHTS UNDER STATE STATUTES

Ifurther agree to waive all benefits flowing from any state statute that would negate or limit the scope of this Release and Indemnity Agreement. By signing this Release, I certify that have read this Release and fully understand it and that am not relying on any statements or representations made by the "RELEASED PARTIES".
SIGNATURE*

Clear
DATE*

MonthDayYear
Date
MOTORCYCLE INFORMATION
MAKE*
MODEL*
YEAR*
ENGINE DISPLACEMENT cc*
DRIVERS LICENSE NUMBER*
STATE*
EXPIRATION DATE*

MonthDayYear
Date
Motorcycle Endorsement*

YesNo
INSURANCE CARRIER*
Submit by Clicking the Box Below
Should be Empty:

MOTORCYCLE RIDERS GROUPS (VFWRG)

MEMBERSHIP (PARTICIPANT) APPLICATION AND RELEASE FORM

PREREQUISITE

PERSONAL INFORMATION

THIS IS A RELEASE OF LIABILITY FORM, READ BEFORE SIGNING

MOTORCYCLE INFORMATION

Submit by Clicking the Box Below