Ronald McDonald House Benefit Ride Camping Release Form

I, the undersigned, as a participant herein named, do hereby agree to hold harmless RMH Ride Inc., EACH and ALL event sponsors, The Ronald McDonald House Charities, the City of New York Mills, McDonalds Restaurant, Charles D Center VFW Post #3289, BKPW.LLC Camp Ground and the operators of the individual entries/units in the event for any and all damages that may occur as a result of participating in the New York Mills Benefit Ride 2007.

I agree that it should be my responsibility as a participant/camper or as the parent or legal guardian of a participant/camper to assume all liability for expenses that could arise from any potential injury or damage as a participant/camper in the above named event.

Name (please print):_____________________________________ Phone:____________________

Address:_________________________________________________________________________

City:____________________________________________ State:__________Zip:______________

Signature:_____________________________________________________ Date:______________

Passenger Signature:____________________________________________ Date:______________

Other camper Signature:__________________________________________ Date:_____________

Number of Bikes: _______ Number of Participants: ______ Number of Tents/Campers: _______

IF possible, Please list the name and cell phone number of another member of your camping party for

emergency purposes: _________________________________________

Camping Rules:

1. NO one under 21 years of age on VFW grounds after 10pm.
2. Campfires in FIRE RINGS ONLY!
3. NO firewood brought in to campgrounds. Freewill donation for firewood at the BASE CAMP.
4. NO fireworks, fighting, weapons or attitudes! NO EXCEPTIONS!!
5. DO NOT PARK IN MARKED FIRE LANES.

· Please use all available garbage cans and dumpsters as labeled.

· Separate all aluminum and use appropriate garbage cans to dispose of aluminum.

(Proceeds are donated to Ronald McDonald House.)

· First Aid Station, Ice and Water available on VFW grounds.

· Event Information Station, Promotional Ride Items and other vendors on VFW grounds.

To Be Included in Door Prize Drawing following the ride you MUST fill out the drawing slips below-

Name

Address

Phone

Name

Address

Phone