MOTORCYCLE POKER RUN benefiting Jean Dean RIF (Reading Is Fundamental) Saturday, June 7, 2014 at Big Swamp Harley Davidson, Opelika, AL Rain or shine! Registration Below Help 1000's of kids in need get books - for many - the FIRST & ONLY books in their homes! Grand Prize, second place, and worst hand prizes ♦ Delicious lunch ♦ Great music ♦ Bike games ♦ Auction ♦ Bake sale Whatever you ride, please join us on June 7! Early bird savings �register by end of day May 24, save $10

----------------------------------------------------------------------------------------------------------------------------------------- RIDE TO READ REGISTRATION FORM You may use your VISA, Master Card, American Express, Discover, BANK, or PayPal to register online -or- Download and return this form and your check payable to: Jean Dean RIF, % PO Box 848, Opelika, AL 36803-0848 Each registration includes event, t-shirt, and lunch!   $30 per bike registration - includes lunch and t-shirt (size guaranteed until May 24)               t-shirt size:  Select one...SMLXLXXL (+ $2)3XL (+ $2)4XL (+ $2)   $5 for 2 extra poker hands   $15 for passenger registration, lunch, and t-shirt             passenger t-shirt size:  Select one...SMLXLXXL (+ $2)3XL (+ $2)4XL (+ $2)  Biker's First Name:     Last Name:  Passenger's First Name:      Last Name:  Address:  City:   State:   Zip:      Phone:   ( )  -  Email Address:      Have you joined us before? NoYes *Liability Release- In signing this form I acknowledge this is a high risk event and release Kiwanis (including Jean Dean RIF/Kiwanis), Big Swamp Harley-Davidson, all event sponsors and their Officers, agents, employees and sponsors from any and all damages, claims, demands, costs, or expenses relating to injury of any persons or any property which I sustain or which I may cause by reason of participating in , or in connection with this event. *Covenant not to sue and waiver of subrogation- I further agree that I will never sue Kiwanis (including Jean Dean RIF/Kiwanis), and Big Swamp Harley-Davidson, nor any event sponsor, for any injury or damage I suffer or cause, which whether known now or which may develop in the future. *I expressly agree to indemnify and hold Kiwanis (including Jean Dean RIF/Kiwanis) and Big Swamp Harley-Davidson, and all event sponsors, harmless from any liability whatsoever, including court costs and attorneys fees arising with Respect to such actions. I also am waiving the rights of recovery from Kiwanis (including Jean Dean RIF/Kiwanis) and Big Swamp Harley-Davidson, and all event sponsors from any insurance carrier for any claims they may pay on my behalf. I grant permission to all of the foregoing to use any photographs, motion pictures, recordings, or any other record of my and my minor child(ren)�s participation in this event for any lawful purpose, without remuneration.. *I further state that I have, and will maintain liability insurance on the bike I will use in this event. *I signify by signature that I have read and understand the agreements and will abide by all rules of Kiwanis (including Jean Dean RIF/Kiwanis) and Big Swamp Harley-Davidson. I signify by signature that I have read and understand the agreements and will abide by all rules of Kiwanis (including Jean Dean RIF/Kiwanis) and Big Swamp Harley-Davidson and that I am 19 years of age or older. I would like to make an additional tax-deductible donation to Jean Dean Reading is Fundamental of $  Total: