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Welcome to the Suncoast Riders registration page.

The member information collected on this page is purely for safety purposes and is carried by the Ride Organizer on all rides in case it is needed for obvious reasons. This information is not shared with other members or with any other entity for any reason other than for the safety of those persons on the ride or where the Ride Organizer is requested to release such information to the police or other state official in an emergency situation. If you don't complete all the fields, don't expect me to have the information later. If your information changes at a later date or you want to add something extra, please click here to update your account. If you have any questions or comments about this form, please contact me. The email address you give below will be added to the Suncoast Riders private Yahoo group email list and for no other purpose.

Please complete the following form to request your registration as a Suncoast Riders member:

	Your Information	Required Fields
First Name		*
Second Name		*
Address 1
Address 2
City
State
ZIP

Email		*

Home Phone
Cell

Make of bike
Tag #
Tag State

	Emergency Contact Information
First Name
Second Name

Home Phone
Cell

Waiver I agree to hold harmless Adrian Kingston, Susan Kingston, Suncoast Riders, any other organizer, assistant organizer or other member of Suncoast Riders from any injury, loss or liability of any kind in relation to my membership, attending any event or participating in any group ride with the Suncoast Riders group. I agree that I am responsible for riding my own motorcycle and am responsible for my own actions. I agree that I understand my responsibilities as a group rider as defined by the Motorcycle Safety Foundation.
Safety Video ^{watched and understood the Motorcycle Safety Foundation video on group riding.}
By clicking the submit button below I assert that all information I have given above is true and correct to the best of my knowledge, that I am legally bound by the waver statement above and my submission constitutes my electronic signature and agreement to all the above statements. IP addresses are recorded on submission for security verification purposes.