NERIN Information Form

In order to process your membership to NERIN and it's mailing list, we request the following information.

Please complete this form and click on the Process Data button below to submit your information.

Name:
Email Address:
Your Address
City
State
Zip
AMA #
Spouse
AMA #
Your Phone #
How did you hear of NERIN?
Your Bike Classification
Motorcycle Safety Course
Applicants Motorcycle Information:
Manufacturer
Year
Model
Years of riding experience
Spouse Motorcycle Information:
Manufacturer
Year
Model
Years of riding experience
Comments/Addition Information
Thank you for your time, we hope to see you on a ride soon !

NERIN Waiver : As a participant in NERIN events I recognize that my attendance involves inherent risk and danger to myself, my passenger, and other riders around me. I hereby waive any claims and release NERIN and or any person participating in a NERIN event from any liability of any nature and for any injury to myself, passenger or damage to my motorcycle while attending any motorcycle activity organized and authorized by NERIN. I also expressly assume the risk of any injury or liability, including such injury arising as a result of the action of any fellow rider. I hereby agree to indemnify and hold harmless the organizers of NERIN by or on behalf of myself, passenger, or my family that accompany me or arising as a result of the actions or inaction of myself.


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Copyright © 2000 [NERIN]. All rights reserved.
Revised: September 08, 2002