Forbidden Ride Pre-Registration Form

• Please fill in details below (one form per bike). Cost is $30.00 per rider & $25.00 per passenger.
• The first 350 people registered will be guaranteed the meal and a badge.
• After submitting this form you will be redirected to PayPal to make your secure payment.

If you do not wish to pay online, please call 519-603-3724 or email info@visitperth.ca to reserve your space - then mail a cheque payable to Perth County Visitors Association to P.O. Box 340 Shakespeare, Ontario, N0B 2P0. Your cancelled cheque is your receipt.

Name of Rider*
Address*
City*
Province*		Postal code*
Email address*
Daytime phone*	Please include area code
Other/Cell phone
Passenger's (or other Rider's) Name
Above named is a:	Passenger Rider (with own motorcycle)
Club Name
Are you participating in the Caravan on Friday night?			Yes No
Are you attending the Show 'N Shine on Friday night?			Yes No
Are you attending the Theatre performance on Friday night?			Yes No
I/We hereby declare that I/We will not hold the FORBIDDEN RIDE or Perth County Visitors’ Association or any of their officers or members responsible and/or liable for any loss, damage, injury or death that may occur while in attendance at the FORBIDDEN RIDE. I/We accept this risk as my/our total responsibility and I/We fully understand the implications as stated above and in signing assume the same for dependent children.

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