OFFICIAL 2021 LAW ABIDING BIKER™ MEDIA PATRON MEMBER RIDE AND MEETUP EVENT!

DATE:

Tuesday, June 29, 2021

TIME:

From about 10:00am to 5:00pm

Location:

The ride portion will start at a location near the Placerville, CA area. We will guide the group to the final destination for a late afternoon dinner & social event. (only announced to confirmed participants after requirements have been met)

INITIAL REQUIREMENTS TO SIGN UP AND PARTICIPATE IN THE EVENT:

Must be signed up as an Official mid-level or above Patron Member of Law Abiding Biker Media prior to March 29, 2021.
1. That's 3 months prior to the event
Further requirements in the sign-up form below

DEADLINE FOR SIGNING UP:

May 1, 2021 by midnight PST
- No submissions or entries will be accepted after that.

OFFICIAL EVENT SIGN UP FORM:

2021 Patreon Event Signup Form-Law Abiding Biker™ Media

Event Date: Tuesday, June 29, 2021 (10:00am-5:00pm)

Rider Name*
Name as it appears on your state driver's license or ID. Enter "none" if you don't use a legal middle name.
First Middle Last
Date of Birth (mm/dd/yyyy)*
Date Format: MM slash DD slash YYYY
Passenger Name (if applicable)
Name as it appears on your state driver's license or ID. Enter "none" if you don't use a legal middle name.
First Middle Last
Date of Birth (mm/dd/yyyy)
Date Format: MM slash DD slash YYYY
Address*
The address listed in your Patreon account. **No P.O. Boxes**. Physical address only. Change your Patreon account address if necessary.

Street Address Address Line 2 City State / Province / Region ZIP / Postal Code Country
Mobile Phone*
In case of an emergency or change of plans
Email From Your Patreon Account*
IMPORTANT: This is how we'll communicate with you. And verify your Patreon account.
Enter Email Confirm Email
A Current Face Photo*
With a smile, if you can? 🤪So we can get to know you before the event. (jpg, png, gif, jpeg)
Accepted file types: jpg, png, gif, jpeg.
Rider T-Shirt Size*
Driver's License*
Yes, I have a valid motorcycle driver's license
You must have a current driver's license with a proper motorcycle endorsement to participate in the event.
Insurance*
Yes, I have liability insurance on my motorcycle
You must have current liability insurance on your motorcycle to participate in this event.
Video & Audio Recording Release*
I agree to the terms
The undersigned authorizes Law Abiding Biker™ Media Inc. to video and audio record at this event. This may include my name, likeness, image, voice and participation at the event. I agree that the video and audio recorded may be edited and otherwise altered at the sole discretion of Law Abiding Biker™ Media Inc. and used in whole or in part for any and all broadcasting, non-broadcasting, audio/visual, and/or exhibition purposes in any manner or media, in perpetuity, throughout the world.

Law Abiding Biker™ Media Inc. may use and authorize others to use all or parts of the recordings. Law Abiding Biker™ Media Inc., its successors, and assigns shall own all rights, title, and interest, including copyright, in and to the event, including the recordings, to be used and disposed of without limitation as Law Abiding Biker™ Media Inc. shall in its sole discretion determine.
Event Waiver & Release*
I agree to the terms
The undersigned (on my own behalf and on the behalf of my heirs, personal representatives, successors and assigns), for and in consideration of the opportunity to participate in this event, hereby release Law Abiding Biker™ Media Inc., its organizers, sponsors, members and other participants in this event from any and all claims and demands, rights, and causes of action of any kind whatsoever which I now have or later may have resulted from, arising out of or in connection with my participation in this event.

This release extends to any and all claims I have or may have against the released parties whether such claims result from negligence on the part of any or all released parties with respect to this event, of with respect to the conditions, qualifications, instructions or procedures under which this event is conducted or from any injuries resulting to my property or myself during or in connection with this event.

I am experienced and familiar with the operation of motorcycles and fully understand the risks and dangers inherent to motorcycling. I am voluntarily participating in this event and I expressly agree to assume the entire risk of any accidents or personal injury, including death, which I might suffer as a result of my participation in the event whether such risks result from negligence on the part of any or all of the released parties.

The undersigned acknowledges that there will be no alcoholic beverages served or provided by Law Abiding Biker™ Media Inc. at the event and any consumption of alcoholic beverages will be at the will of the undersigned. The released parties strongly advise the undersigned not to drink alcoholic beverages during the event and that if the undersigned feels the slightest bit impaired, that they do not participate in the event. The undersigned acknowledges the released parties have expressly informed him/her of the dangers of drinking and driving.

By signing this release, I certify that I have read this release and fully understand it and I am not relying on any statement or representation of anyone thereby and do claim, if I am the driver, that I have current motorcycle liability insurance and a valid driver’s license with a motorcycle endorsement.
Signature of Rider*
By signing above, I agree to all terms, conditions, and waivers as listed on this page.
Date Signed (mm/dd/yyyy)*
Date Format: MM slash DD slash YYYY
Signature of Passenger (if applicable)
By signing above, I agree to all terms, conditions, and waivers as listed on this page.
Date Signed (mm/dd/yyyy)
Date Format: MM slash DD slash YYYY
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