Oregon Family Membership

$0.00

Last Name*
First Name*
Spouse (or significant other)
Phone#*
Address*
Street Address City State ZIP
Email*
Date of Birth*
Month
Day
Year
Bike Brand
Riding#
Class*
“Proof of age may be required. To participate in the +30/40+ age classes you MUST BE at least 30/40 years old by the date of the event you wish to ride. NO EXCEPTIONS! All other age classes, your birthday must fall within the calendar year of the age class you wish to participate in.”
Experience*
would you like to add a child or grandchild to your membership?*
- Yes
- No

List*

Name *	Birthday *

Name	Birthday

Legal Release*
- I, the undersigned, fully understand that at no time will I make a legal or financial claim against, nor will hold responsible, any member of The Oldtimer’s Motorcycle Association, LLC, for any damages to my motorcycle, equipment, or my body, including death. I am, and will be accountable for my own actions. I have read and fully understand the above legal release.
Name
This field is for validation purposes and should be left unchanged.

Description

Membership for our organization

Category: Membership