Registration — YSR DAIZE

Fill Out The Form Below to Register for the event.

Registration Includes - T-Shirt (Please Provide Size Below & Option for DEEP CREEK SHIRT, YSRDAIZE SHIRT, OR BOTH), 40 raffle Tickets (Additional Raffle Tickets can be purchased at event for $1 each, Bike show entry (2 bikes allowed into bike show)- and a surprise gift.

Registration Price $65 If Option for both Shirts $90

AT EVENT PRICE FOR REGISTRATION GOES TO $108.00 FOR 1 SHIRT FOR BOTH EVENT SHIRTS $133.00

Name

First Name

Last Name

Email Address

Address

Address 1

Address 2

City

State/Province

Zip/Postal Code

Country

Bikes Bringing Down (Manufacture/Model)

Phone Number

Emergency Contact Info

T Shirt Size (One Is Included in Registration Fee)

T Shirt

Do you want a YSR Daize Shirt , Deep Creek Shirt, or Both?

Total Amount Sending

Registration Price $65.00 for 1 shirt if both shirts selected $90.00

$

Payment

Payments For Event Can Be Sent Via PayPal (Friend & Family) to Gotleakz21@aol.com. Please put your PayPal Email Below. In Description of payment please Put Your Name. (NOTE YOU WILL NOT BE CONSIDERED REGISTERED UNTIL PAYMENT IS RECEIVED AND CONFIRMED)

Checkbox

Terms of Agreement

I agree to the terms of conditions (Non Refundable Registration)

I Agree to ride safe and responsible and to respect others (There is a zero tolerance policy with respecting each other)