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Motorcycle ride & celebration: $15 Driver (includes raffle)/$15 Passenger Celebration only: $15/adult, children 12 yrs. & younger FREE!
Motorcycle ride/total driver+passenger(s):	0 1 2 3
Celebration only total people older than 12 yrs.:	0 1 2 3 4 5 6 7 8 9 10
Total of registered adults /donation only dollar amount:
Checks made payable to: MU Foundation 1 Winthrop Street Islip, NY 11751 www.MUFoundation.net, e-mail david@mufoundation.net, phone 631-338-9677 Disclosure Stement  All Motorcycle drivers must have a valid NYS motorcycle license & insurance. MU Foundation and its officers/volunteers are not responsible for any personal or property injuries or damage due to accident/theft. All participants hold MU Foundation and it’s officers/volunteers harmless of any such injuries/damages be man made or natural. By registering for the event either electronicly or manually you are agreeing to the above statement of disclosure. Print name:____________________________________ Sign name:____________________________________ Date:________________________________