2016 Oklahoma District Rally September 29

2016 Oklahoma District Rally
September 29 – October 1, 2016
Muskogee Oklahoma Civic Center
Rider:
Co-Rider:
Address:
Phone:
Region:
District:
Plan to stay at: Host Hotel
GWRRA #
GWRRA #
City, State, Zip:
Email:
Chapter:
Other Hotel
DOB:
DOB:
Miles to Convention:
Camp
Other
DESCRIPTION: (All on-site registrations will be an additional $5.00) QTY
GWRRA Life Member
GWRRA Member
Non-GWRRA Member
Closing Banquet Meal Ticket (per person regardless of age)
PRICE
$20.00
$30.00
$35.00
$15.00
TOTAL
Children under 12 attend rally for free (+ fee for meal). NO MEAL TICKETS WILL BE SOLD ON SITE
Level IV Breakfast (Must be current and list number.)
Rider Master #
Co-Rider Master #
Level IV Breakfast (Not current)
CPR/First Aid – Renewal Only (Friday 9-12 am)
FREE
$10.00
$25.00
TICKET SALES (MUST BE PRESENT TO WIN)
50/50 Tickets Friday
9/30/16 (Per Stretch)
$10.00
50/50 Tickets Saturday
10/1/16 (Per Stretch)
$10.00
$ 0.00
Rally Shirt Pre-Order (from next page)
GRAND TOTAL $ $ 0.00
Make checks payable to: OKLAHOMA DISTRICT
Mail to: Jeannie Smith, 23451 E. 66th St. S., Broken Arrow OK 74014
Must preregister by September 16, 2016
Page 1 of 2
The Muskogee Chamber of Commerce will be hosting our opening ceremony at the
Oklahoma Country Music Hall of Fame. The Chamber will be providing a baked potato bar.
Please indicate how many will be attending opening ceremonies on Thursday evening,
September 29th, so we can provide a count for the meal.
We will have a guided ride (Outlaw Trail Ride) on Friday (10/1) and that will take 2-3 hours
and require multiple flights of approximately 10 bikes/trikes. If you would like to go on one of
these rides, please indicate your first, second, and third choice of a time. Note: Times will
be assigned based on when your registration form was received.
10:00 am
1:00 pm
2:00 pm
This year’s rally shirts will be printed direct-to-garment and must be ordered in advance in
order to receive the full-color design. A solid-color design will be available for purchase at
the rally. Please indicate below if you would like to pre-order a full-color rally shirt.
Short sleeve - $18
Long sleeve - $20
Polo - $25
XXL and larger add $2
**We will contact you to select your shirt color once the design has been finalized.
Shirt Type
Size
Price
$
$
$ $ 0.00
Total Price (please list on page 1)
I/WeagreetoholdharmlesstheGWRRA,co-sponsoringorganization,andanypropertyownersforanylossor
injurytoselforpropertytowhichI/wemaybecomeinvolvedbyreasonofparticipationinthisrally.I/Wealso
agreetoassumeresponsibilityforanypropertywhichI/weknowinglydamage.
Rider:
Co-Rider:
Date: Date: Page 2 of 2