23rd of 25 Annual
Michaux Dual Sport
The Oldest Dual Sport Run in America
Sunday August 14, 2011 rain or shine
START: Between 8 & 9 AM
Directions will be emailed about one week prior to the event.
If you do not have email we will send the information if needed.
AMA Membership is NOT required
Continental Breakfast provided a very short distance into the ride.
BBQ Lunch will be provided.
(Passenger, pit helper, wife, girlfriend, etc., get free lunch)
Ice Cream back at the finish. • 23rd Anniversary t-shirt
Motorcycles must be street legal with valid registration & insurance card.
PA registered bikes must have a valid inspection sticker.
ENTRY FEE: $45.00 per rider. Pre-Entry ONLY!
Entries must be received by August 1st.
NO sign-up day of event.
We will email confirmation of your received entry and any correspondence prior to the event.
If you do not have email we will send the directions and info sheet about one week prior to the event.
Entry forms can also be found on our website.
Send Entry to:
M.O.R.E.
999 Baltimore Road • York Springs, PA 17372
markecowater@pa.net • www.moreclub.org • (717) 577-5142
---------------------------------------------- Pre-Entry Form ----------------------------------------------------
Release and Waiver of Liability and Indemnity Agreement
I hereby give up all of my rights to sue or make any claim whatsoever against the DCNR Bureau of Forestry, the promoters, sponsors, and all other persons or
organizations conducting or connected with this event for any injury to property or person I may suffer, including crippling injury or death, whether such injury
arises while I am preparing or participating in the event or while I am on the event premises. I know the risks of danger to myself and my property while
participating in the event and while upon the event premises and, relying upon my own judgment and ability, assume all such risks of loss and hereby agree to
reimburse all costs to these persons or organizations connected with this event for damages incurred as a result of any injury that I cause or receive.
I have read this release and agree to the terms therein.
SIGNATURE:
PARENT/GUARDIAN SIGNATURE (IF UNDER 18):
NAME: PHONE NO: ( )
ADDRESS:
CITY: STATE: ZIP: EMAIL ADDRESS:
T-SHIRT SIZE: XXL XL LG MD
Passenger, pit helper, wife, girlfriend, etc. T-shirt? (add $15) Size
EXTRA lunch for passenger, pit helper, wife, girlfriend, etc.? YES NO (Circle One; no additional charge)
Michaux Dual Sport
The Oldest Dual Sport Run in America
Sunday August 14, 2011 rain or shine
START: Between 8 & 9 AM
Directions will be emailed about one week prior to the event.
If you do not have email we will send the information if needed.
AMA Membership is NOT required
Continental Breakfast provided a very short distance into the ride.
BBQ Lunch will be provided.
(Passenger, pit helper, wife, girlfriend, etc., get free lunch)
Ice Cream back at the finish. • 23rd Anniversary t-shirt
Motorcycles must be street legal with valid registration & insurance card.
PA registered bikes must have a valid inspection sticker.
ENTRY FEE: $45.00 per rider. Pre-Entry ONLY!
Entries must be received by August 1st.
NO sign-up day of event.
We will email confirmation of your received entry and any correspondence prior to the event.
If you do not have email we will send the directions and info sheet about one week prior to the event.
Entry forms can also be found on our website.
Send Entry to:
M.O.R.E.
999 Baltimore Road • York Springs, PA 17372
markecowater@pa.net • www.moreclub.org • (717) 577-5142
---------------------------------------------- Pre-Entry Form ----------------------------------------------------
Release and Waiver of Liability and Indemnity Agreement
I hereby give up all of my rights to sue or make any claim whatsoever against the DCNR Bureau of Forestry, the promoters, sponsors, and all other persons or
organizations conducting or connected with this event for any injury to property or person I may suffer, including crippling injury or death, whether such injury
arises while I am preparing or participating in the event or while I am on the event premises. I know the risks of danger to myself and my property while
participating in the event and while upon the event premises and, relying upon my own judgment and ability, assume all such risks of loss and hereby agree to
reimburse all costs to these persons or organizations connected with this event for damages incurred as a result of any injury that I cause or receive.
I have read this release and agree to the terms therein.
SIGNATURE:
PARENT/GUARDIAN SIGNATURE (IF UNDER 18):
NAME: PHONE NO: ( )
ADDRESS:
CITY: STATE: ZIP: EMAIL ADDRESS:
T-SHIRT SIZE: XXL XL LG MD
Passenger, pit helper, wife, girlfriend, etc. T-shirt? (add $15) Size
EXTRA lunch for passenger, pit helper, wife, girlfriend, etc.? YES NO (Circle One; no additional charge)
