American Legion Riders
Motorcycle Association
Membership Application
Chapter Name: ______________________________________________
Nickname: __________________________________________________________________
Name: ______________________________________________________________________
Address: ____________________________________________________________________
City, State and Zip:____________________________________________________________
Phone (______) ________________________________Birth date: _______________________
E-mail address: ___________________________ Post Number where you belong: _________
American Legion Membership Number: _____________________________________
Type of Motorcycle: __________________________________________________
THIS IS A RELEASE, READ BEFORE SIGNING
I agree that the American Legion and the American Legion Riders Motorcycle Association shall not be liable or responsible for damage to property or any injury to persons including myself during any American Legion or American Legion Riders activities, even where the damage or injury is caused by negligence. I understand that and agree that all American Legion Rider members and their guest participate voluntarily and at their own risk in all activities of the American Legion and the American Legion Riders. I release and hold the American Legion Riders, the American Legion Riders Officers and the American Legion harmless for any injury or loss to my person or property, which may result therefrom. I understand that this means that I agree not to sue the American Legion Riders, the American Legion Rider Officers or the American Legion for any injury or my property in connection with any American Legion or American Legion Rider activities. I further agree that I am responsible to provide adequate insurance on my motorcycle or any other vehicle I use, operate or am responsible for while participating in an activity of the American Legion or American Legion Riders to cover liability in case of accident or injury.
Signature: _______________________________________
Date: ___________________________
Membership number assigned: _________________________________