Registration Form 16th 16th Annual Annual Entry Fee: $30 Single Rider / $50 Rider With Passenger Benefit Motorcycle Run Entry Fee includes: Ride from LaPlace Travel Center, lunch at Manny’s Bar in Maurepas, and back to Fatty’s Main Street Grill with entrance to the live music show. Mail-in entries must be postmarked by April 9, 2015. For The Please print: Greater New Orleans Therapeutic Riding Center Name ______________________________ Mailing Address ______________________ City, State, Zip _______________________ Phone ______________________________ Email address ________________________ Name of Passenger (if applicable) ____________________________________ T-Shirt Size: S M L XL 2XL Passenger T-Shirt Size: S M L XL 2XL Mail this form to: GNOTRC P.O. Box 23284 New Orleans, LA 70183 A St. John United Way Agency A United Way of St. Charles Agency GNOTRC ✄ www.gnotrc.com Email: [email protected] Website Address: CUT HERE Pre-register by April 9, 2015 and receive a FREE 2015 Harley For Horses T-Shirt P.O. Box 23284 New Orleans, LA 70183 Sunday - April 19, 2015 Harley For Horses Open To Riders Of All Makes of Motorcycles Live Music by Sac-a-Lait immediately following the Run B Benefit For The Greater New Orleans Therapeutic Riding Center J oin us on April 19, 2015, for the Harley for Horses Benefit Motorcycle Run to benefit the Greater New Orleans Therapeutic Riding Center, a nonprofit organization dedicated to the well-being of children and adults with disabilities through horse assisted activities. The organization was founded in 1993 with four students and two horses. Today, the riding center helps riders with disabilities with nine horses. The motorcycle run, open to riders of all makes of motorcycles, began when GNOTRC was given a pet pig named Harley, which has become the mascot for this event. This year’s motorcycle run is set to depart at 11:00 A.M. on April 19, 2015, from the LaPlace Travel Center at 4325 Hwy. 51 in LaPlace. Registration will start at 9:00 A.M. The route will take the run for lunch at Manny’s Bar, 19706 Highway 22 in Maurepas, and end at Fatty’s Main Street Grill in LaPlace with live music, a raffle, and an auction following the run. Registration for the event is $30 for a single rider, and $50 for rider and passenger. The fee includes lunch at the midpoint, and admission to the live music following the run. Music will start at 3:00 P.M. Non-riders are invited to join the festivities at Fatty’s Main Street Grill for a small fee. Once again this year’s Harley for Horses Benefit Motorcycle Run will be dedicated to fallen St. John Deputy Brandon Nielsen, who organized and also escorted the ride over the last several years. Donations will be accepted for the families and survivors of the Fallen Four. For more information call GNOTRC at 504-466-9960 or 985-651-LADY Website Address: www.gnotrc.com Email: [email protected] GNOTRC is a nonprofit organization. Nonprofit ID # 72-1234671 TIME: Registration starts at 9:00 A.M. Ride departs at 11:00 A.M. LOCATION: Ride departs from the LaPlace Travel Center at 4325 Hwy. 51 in LaPlace, stops for lunch at Manny’s Bar in Maurepas, and ends at Fatty’s Main Street Grill. FEE: $30 for single rider, $50 for rider with passenger. Fee includes lunch and free admission to the post run celebration. Those riders who preregister by April 9, 2015 will also receive a free Harley For Horses 2015 T-Shirt. y signing this application, the undersigned herewith acknowledges that the Harley for Horses benefit scheduled for the 19th day of April, 2015, is a recreational event designed to aid a charitable non-profit organization and is not a race, challenge match or test of skill. Safety of spectators and participants is a primary concern of the organizers, sponsors, and others involved in the presentation of this event. The undersigned herewith agrees not to engage in racing or any other unsafe activity in connection with the referenced Ride. The undersigned, for consideration duly acknowledged, herewith releases, holds harmless and indemnifies Harley for Horses, LaPlace Travel Center, Manny’s Bar in Maurepas, Fatty’s Main Street Grill, and other locations, and any officers, employees, volunteers, and associates thereof, as well as any organizers, sponsors or beneficiaries of the referenced event, from any and all liability for damages that may be incurred by any person or entity due to or as a result of the undersigned participation in the Harley for Horses ride scheduled for April 19, 2015. I fully understand that the registration fee is not refundable and all proceeds will go to the Greater New Orleans Therapeutic Riding Center. Participants must be 21 years of age. Signature Signature of Passenger, if applicable Manny’s 10% OFF Make check payable to: GNOTRC Greater New Orleans Therapeutic Riding Center WITH THIS COUPON from 9am-11am, 4-19-15 only. Pre-register by April 9, 2015 and receive a free t-shirt! Please check our website for info. Mail-in entries must be postmarked by April 9, 2015.
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