Important information telus Motorcycle Ride For Dad

telus Motorcycle
Ride For Dad
Important
information
Register online today!
Pre-registration
You can now add cash pledge amounts
to your online total! Register online and
use this form to collect cash pledges.
Friday, June 19, 3:00–7:00 p.m.
Registration Trailer
Canadian Tire Store Parking Lot
890 McKeown Avenue, North Bay
Registering online helps save administrative
costs and helps us plan a better event.
Prostate cancer is the most commonly
diagnosed men’s cancer in Canada.
90% of prostate cancer cases can be
successfully treated if detected early!
silver sponsors
First 300 riders get a free meal ticket
and a gift! Lots of great prizes to be won!
We give where we ride!
What’s raised in your community stays in
your community to help fight prostate cancer
through research and public awareness.
gold sponsors
INSURANCE BROKERS
Div. of Blue Sky Financial Group Inc.
Ride day
Saturday, June 20
Canadian Tire Store Parking Lot
890 McKeown Avenue, North Bay
Registration 8:00–10:00 a.m.
Kickstands up 10:30 a.m. sharp
Join Celebrity
Ride Captain
Mitch Belanger
Get serious. Talk to your doctor about
getting your prostate checked!
Happy Jack’s
Dry Cleaning
Centre
To date, the Ride For Dad has donated
more than $15 million towards prostate
cancer research and awareness!
You don’t need to be a rider
to get involved!
Become a volunteer, sponsor,
pledge a rider, make a donation,
or register as a non-riding Champion!
Register or donate online
at Ride For Dad.ca
Every $200 raised
gives you a chance
to win a $5,000
Harley-Davidson®
gift card!
@TELUSRideForDad
NipiSSing
1401 Seymour Street North Bay
705-476-0206
www.northernhonda.com
title sponsor
North Bay Police Services, Idylltyme Sports &
Marine, Giesler Marine, South Shore-Restoule
Snowmobile Club, Future Shop, Pinecreek Enterprises, Hunters Bay
Marine Ltd., Bay Truck Stop, North Bay Powdercoating, Battery Battery,
Industrial Motors, Ultimate Kitchen, True Centre Muffler & Brakes,
Northwood Windows, Miller Waste, Northern Renovations, P & G Auto
Sales, CAA Northeast, Canadian Springs, E cology Centre, Highview Golf
Course, Manchester’s Sleep Centre & Spas, T. Vaillancourt Construction
bronze sponsors
Register online today
at Ride For Dad.ca
proudly
supported by
Download our
free mobile app!
Saturday, June 20
media sponsors
local presenting sponsors
National sponsor
TELUS Motorcycle Ride For Dad REGISTRATION FORM
TELUS Motorcycle Ride For Dad pledge FORM
 I have registered online (if you have cash/cheque pledges, please complete this form and bring it, along
with your additional pledges, to the Express Registration line on Ride Day)
All pledges must be collected and submitted before the Ride begins. Receipts will be issued for donations of $20 or more, provided name and address are
complete and legible. Make all cheques payable to “Ride For Dad.” Working in partnership with the Prostate Cancer Fight Foundation, charitable registration
#851333179RR0001. Donors, thank you for providing your email address! This will help reduce our costs by allowing us to provide you with an e-receipt.
Name Amount
Donor name
Tel
Email
Address
Floor/apt. #
CityPostal code
Donor name
Tel
Email
Address
Floor/apt. #
CityPostal code
Donor name
Tel
Email
Address
Floor/apt. #
CityPostal code
Donor name
Tel
Email
Address
Floor/apt. #
CityPostal code
Donor name
Tel
Email
 I’d like to make a personal pledge towards my fundraising goal $
Address
Floor/apt. #
CityPostal code
How did you hear about the Ride?
 Television  Radio  Print  Friend  Dealership  Other
Donor name
Tel
Email
Address
Floor/apt. #
CityPostal code
Donor name
Tel
Email
Address
Floor/apt. #
CityPostal code
Donor name
Tel
Email
Address
Floor/apt. #
CityPostal code
Donor name
Tel
Email
Address
Floor/apt. #
CityPostal code
Donor name
Tel
Email
Address
Floor/apt. #
CityPostal code
Gender  Male  FemaleCaptain’s Club # (if applicable)
Address
City ProvPostal code
Phone (home) (work)
I’m riding with team/club/legion branch (if applicable)
Vehicle manufacturer
Email
Birth year
Is this city your preferred Ride location?
 Yes  No, I usually ride in this location
 Please add my name to the MRFD E-news distribution list.
 YES, I have a valid motorcycle license, approved helmet and insurance required to participate.
WAIVER
I understand and am aware that there are dangers and risks involved in riding a motorcycle, and in riding a
motorcycle in a group such as the TELUS Motorcycle Ride For Dad. These dangers and risks include damage,
injury, serious injury and/or death. Knowing and appreciating fully these dangers and risks, I the undersigned,
hereby waive, release and forever discharge the TELUS Motorcycle Ride For Dad, the proceed recipient, the police,
members of the organizing committee, sponsors, supporters, volunteers and all other associates with the event of
and from all manner of actions, causes of action, suits, debts, claims and demands whatsoever arising from or in
connection with the TELUS Motorcycle Ride For Dad and associated events. I assume full responsibility for injury or
damage arising as a result of the participation association with the TELUS Motorcycle Ride For Dad event and for
my passengers. This waiver also includes a “model release” for photographs taken and audio/video recordings
made while participating in the above activities.
Signed
Registration is $30 and can be converted to a donation or refund if you raise a minimum of $100 in pledges.
For registration dates, times and locations, go to RideForDad.ca.
Passengers must register to participate in ride activities, prize draws and meals. There is no charge for passengers who do not.
PLEASE PHOTOCOPY THIS PAGE FOR ADDITIONAL PLEDGES.
Date
For administrative use only:  Rider  Participating Passenger  Champion  Volunteer  Waived
Total pledges on this sheet
Total personal pledge
Registration fee
Total pledges overall