Helms Beels Registration
|
Helms and Beels Memorial Run In Memory of Sam Helms and Tim Beels August 3-5, 2007. Sponsored by Southern Cruisers Riding Club Northwest Ohio and Macomb Michigan Proceeds Benefit St. Jude Children’s Research Hospital All participants of the event must fill out the registration form and sign the following waiver regardless if they ride. BBQ will be held rain or shine. Register before July 01, 2007 and each registrant receives a Free Year Rocker to be placed under the main patch. Main patch is available below. Registration: $15.00 per person________ after July 01,$20.00__________ Includes year rocker, buffet BBQ, non alcoholic beverages & door prizes Rider Name:_________________________Chapter_________________________ Address:_______________________City________________________Zip_______ Emergency contact: Name_________________________Phone________________ Passenger Name:___________________Chapter_____________________ Address: ______________________City: ____________ State: ____ Zip:_______ Emergency Contact: Name_________________________Phone________________ Participant Name:____________________Chapter_________________________ Address:_______________________City______________State____Zip__________ Emergency contact: Name_________________________phone________________ T-shirts: Adults short or long sleeve and Youth short sleeve Adult sizes short sleeve $15.00 S_____M_____L_____XL____2XL_____3XL_____4XL_____ Adult sizes Long sleeve $18.00 (pre-orders only) S____M_____L____XL____2XL____3XL____4XL____ T-Shirts Youth Sizes short sleeve $7.00 (pre orders only) S-6/8_____M-10/12_____L-14/16_____ Main Event Patch: $5.00 each_______ Write check or money order to Cruisin’ For A Cure. E-mail address to send receipt__________________________ Mail check/MO, Registration form, and Signed Waiver To: Charlene Helms 207 Sycamore Lane Napoleon, Ohio 43545 |