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16th Annual
C.O.P.S. Ride
MARYLAND CHAPTER OF
CONCERNS OF POLICE SURVIVORS
Hosted by Maryland Fraternal Order of Police
Sunday, June 14, 2015
Registration at the Following Staging Locations:
The Irish Channel Restaurant - Gambrills, MD - 9:00 – 11:00am
Harley - Davidson of Frederick - Frederick, MD - 9:00 - 10:00am
Renegade Classics - Baltimore, MD - 8:30 - 10:00am
Rommel Harley - Davidson Annapolis - Annapolis, MD - 9:00 - 11:00am
Battley Harley - Davidson - Gaithersburg, MD - 9:00 - 10:00am
Red Eye’s Dock Bar - Kent Island, MD - 9:00 - 10:00am
Chesapeake Harley - Davidson - Darlington, MD - 8:30 - 9:30am
Old Glory Harley - Davidson - Laurel, MD - 9:00 - 11:00am
Glen Burnie Motor Sports – Glen Burnie, MD 8:30 – 10:00am
Greene Turtle Restaurant - Prince Frederick, MD - 9:00 – 11:00am
Green Turtle Restaurant – Salisbury, MD - 8:00 – 9:00am
All Riders Will be Escorted to F.O.P. Lodge #89
2905 Old Largo Road, Upper Marlboro, MD
For Lunch and COPS Ride Tee-Shirt
Minimum Donation of $25.00 per Person Required.
1st, 2nd and 3rd Place Prizes for Registration Sites with the Most Riders!
Door Prizes, 50/50 & Vendors
All Riders & All Motorcycles WELCOME !!
For More Info, Call Earl Kratsch 410-442-8260
www.mdcops.org
16th ANNUAL COPS RIDE
REGISTRATION FORM &
WAIVER OF LIABILITY AND RESPONSIBILITY
(Form and Money due at the time of Registration on Ride Day)
Name:
Address:
Phone #:
E-Mail:
Donation
Amount:
EVENT: 16th Annual COPS Ride
DATE: June 14, 2015
To Benefit the Maryland Chapter of Concerns of Police Survivors
The undersigned (on my own behalf and of my heirs, personal representatives, successors and assigns)
for and in consideration of the opportunity to participate in the 16th Annual COPS Ride to benefit the Maryland
Chapter of Concerns of Police Survivors, and for other valuable consideration the receipt and adequacy of
which are hereby acknowledged releases and discharges the respective officers, directors, employees, agents,
donee, beneficiaries, benefactors, from any and all claims and demands rights and causes of action of any kind
whatsoever which I now have or later may have in any way resulting from, arising out of, or in connection with
my participation in said event.
This release extends to any and all claims I have or may have or as the parent or guardian of minor
child(ren), against the released parties whether such claims result from negligence (except willful neglect) on
the part of any or all of the released parties with respect to the event or with respect to the conditions,
qualifications, instructions, rules or procedures under which the event is conducted or from any other cause.
I am experienced in and familiar with the operation of motorcycles and or motor vehicles and fully
understand the risks and dangers inherent in this event. I am voluntarily participating, or allowing the minor
child(ren) for whom I have legal responsibility, voluntarily participate in the event, and I expressly agree to
assume the entire risk of any accidents or personal injury, including death, which I or the said minor child(ren)
might suffer as a result of my/own participation in the event.
THIS IS A RELEASE - READ IT CAREFULLY BEFORE SIGNING…By signing this RELEASE, I
certify that I have read this RELEASE and fully understand it, and that I am not relying on any statements or
representations of anyone released thereby.
PRINTED NAME:
SIGNED NAME:
M/C: CAR:
DATE: