• BCA Ride For Cancer - Barrie Motorcycle Ride Saturday June 15 2019

Select Rider*

1 Rider $35
1 Rider & 1 Passenger $60

Name*

First Last

Email*

Enter Email Confirm Email

Password*

Enter Password Confirm Password

Address*

Street Address City Province Postal Code

Phone*

Passenger Name

First Last

Emergency Contact*

Phone Number*

If the participant is under 18 year of age, please complete the following :

Name of Guadian Authorized to sign in for Participant:

First Last

Address of Guardian

Street Address

Telephone Number of Guardian

*

YES I have valid motorcycle driver's license, approved helmet and insurance required to participate
Waiver: Yes I agree that the rider, passenger and guardian hereby release and discharge the Barrie Construction Association and Canadian Cancer Society, its agents, employees and licensees from any claim or action that I may have with respect to the use of any of the above or my participation in any related Barrie Construction Association and Canadian Cancer Society acitivities. I acknowledge that I will not receive any financial remuneration for any of the above and that my compensation is the opportunity to contribute to the activities of the Barrie Construction Association and the Canadian Cancer Society.

Top Up Your Donation

Total

$ 0.00 CAD

All pledge dollars will go to the Barrie & District Unit of the Canadian Cancer Society. Pledges are to be collected in advance and presented at the event. Tax receipts (if requested) will be mailed out for pledges over $20.00 provided complete mailing information is provided on this registration form.

Ride For Cancer

Register

Registration