Online Registration | Officer Brian Shaw

Registration

Registration Type *

Registration Fee

Rider First Name *

Rider Last Name *

Rider Email Address *

Rider phone number *

Passenger first name *

Passenger last name *

Passenger Email Address *

Passenger phone number *

Rider T-Shirt Size *

Passenger T-Shirt Size *

Ride Waiver

Starting with the 2023 ride, acceptance of our ride waiver is mandatory for online registrations.

You may download a copy of our waiver here: Ride Waiver

Submission of this form and signature below serves as your acceptance of the ride waver as of the date and time the form is submitted.

Rider Waiver Signature *

Passenger Waiver Signature *