13th Thunder Mountain Rendezvous September 23-25, 2016 Rally registration is $40.00 before August 15th, $50.00 after August 15th or at the gate. MAIL REGISTRATION AND CHECK PAYABLE TO:
BMW Riders of Western Colorado #270 P.O. Box 3271 Grand Junction CO 81502 To ensure correct address, please print legibly or type Name/First/Last
Address/Street
City
State
Zip
City
State
Zip
cell phone number email address: Passenger/second rider Name/First/Last
Address if different
Motorcycle(s)
Street
Make/Model/Year
Emergency contact: Name/First/Last
Phone #
Total enclosed:
Disclaimer: I hereby release and hold harmless the sponsors, owners, promoters, and tenants of the premises for any loss or injury to myself or property in which I may become involved by reason of my voluntary participation in this event. This release and hold harmless shall also be binding on my heirs, assigns, successors, and all other persons who may claim through me. I understand that I must sign a complete waiver at the time of registration. Participants under the age of 18 must have the signature of a parent or guardian. Signature:_____________________________________________________________________________________