MBHV 17th Annual Heroes Ride Registration Form
MBHV 17th Annual Heroes Ride Registration Form
*Rider/Operator's first and last name
*Home address including street
city, state and zip
*Cell number or Home phone
*Year, Color and Bike Manufacturer
*Todays date:
*Passenger's first and last name
*Passenger's age if under 18
2024 Heroes Ride Online Registration!
You must fill out all sections of this form to participate.  All rider/operators must fill out a form.  If you have a passenger, fill out one form with their info as well.
*Please read and type in your signature and date*
*YOU MUST READ AND SIGN BELOW TO PARTICIPATE*
**Once you hit Submit, you will be taken to the Thank You page.**
Please click the pay button which will take you to the store
to order your banquet/auction/ride shirt selections and make payment.  
Please click the submit button when you have finished filling in the form.
Please note that this info is secure!  Only Debbie and Jeff will have access to your information.

*SIGNED: 

*DATE:







*SIGNATURE OF PASSENGER:


*DATE SIGNED:

**All participants must signify their understanding of and agreement with the above by signing and dating here**
**Please go to the bottom of this page for a PRINT OUT version to download and  fill out and send with a check.
PRINT OUT 
Please click the link below to fill out and send with a check. 
Please mail in the three pages.  
Hit the back button after printing.
Please type NONE if doesn't apply
Please type NONE if doesn't apply
Please type NONE if doesn't apply
Please type NONE if doesn't apply
Please type NONE if doesn't apply

*PARTICIPANT'S NAME AS SIGNATURE*:

*DATE OF SIGNATURE:

*PASSENGER'S NAME AS SIGNATURE:

*SIGNATURE OF PARENT OR GUARDIAN IF UNDER 18:

*DATE OF SIGNATURE:
Please type NONE if doesn't apply
Please type NONE if doesn't apply
(Optional) How many Heroes Rides
Have you been on?
Please type in 1 - 16
*Email address
REGISTRATION, WAIVER AND RELEASE FORMS