SECTION -  ( 1 )
 

Name Of Event Or Rally :

Date Or Dates Of Rally :       

Chapters Number :     Hosting Chapter Name :

Name Of Charity Event Or Rally Is For :

Address :           City :        State :

Phone Number :      Contact Person From Charity :

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SECTION -  ( 2 )
 

Event Or Rally Contact Person, 1st Officer :

Officers Address :    Officers City :

Officers State :          Officers Zip Code :

Officers Home Or Cell Phone :      Officers Email :

Describe Event or Rally:   

Second Contact , Coordinators Name :

Coordinators Address :      Coordinators City :

Coordinators State :       Coordinators Zip Code :

Coordinators Home Or Cell Phone :

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SECTION -  ( 3 )
 

Motel Name :          Room Rates :

Motel Address :    Motel City :

Motel State :       Motel Phone Number :

  Check The Boxes For Each You Plan On Having.

  Auctions -            Bike Games -           Bike Show -           Poker Run / Dice Run - 

  Food -                 Music -                  T-Shirts -               Vendors -  

If Event or Rally is approved, Proof of Liability Insurance will be required.

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Please Read Carefully Before Submitting

General Liability Disclaimer

Southern Cruisers Riding Club., herein after referred to as SCRC, is a NON-PROFIT organization, operating with the sole purpose of promoting good, clean, and safe riding activities. Each member participates in activities solely by choice and participation itself relinquishes any responsibility of the SCRC as an organization for any and all liabilities resulting in participation in any club related event or activity.  All activities and events must comply with any and all state or local laws and ordinances.  Any personal injury or property damage resulting during a club activity or at any time, becomes the responsibility of the individual parties involved, and at no time shall the SCRC be held liable.  Any individual involved in any illegal activities will be immediately scrutinized by their state officer and subject to immediate removal from all club rosters and membership roles and forbidden to claim any and all association with the SCRC.