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Registration and Waiver Form

The ride will take place on Saturday, June 3, 2023. Our ride will start at our Atlanta Fire Station at 3201 Roswell RD NE, Atlanta, GA 30305, Fire Station #21. One stop on the route will occur, to Hideaway Restaurant and, from there, the Georgia's Dragon Suches Loop ride. OPEN To The Public!

Onsite registration will also be available ONLY Saturday, June 3, 2023. The cost per bike is $20 and includes a FREE continental breakfast light morning meal.

Participant Information:

Participant Name *

Participant Cellphone Number *

Participant Email *

Passenger Information:

Will there be a passenger? *

Passenger Name

Emergency Contact Information:

Emergency Contact Name *

Emergency Contact Cellphone Number *

Emergency Contact Email *

Motorcycle Information:

Year *

Make *

Model *

Color *

Rider Waiver:

I am aware of the risks connected with attending this charity motorcycle ride on this date. I agree not to hold accountable or bring legal action against the City of Atlanta, Atlanta Fire Rescue Foundation, City of Atlanta Fire Rescue Department, their officers, agents, employees, or volunteers. This waiver releases them from all liability relating to any injuries, loss that may occur on location before, during, or after this charity ride for AFRD Field Operations' morale initiative activities.

By signing this agreement, I agree to hold the companies and persons entirely free and harmless from any liability, including financial responsibility for any injuries incurred, regardless of the reasons or circumstances.

I acknowledge the risk involved with this charity ride including, but not limited to muscle tears, sprains, and other physical injuries or possible accidents occurring. I certify that my participation is voluntary, and I have been made aware of the risks. Additionally, I do not have any conditions that may increase my likelihood of an accident or injury.

I will obey the company personnel, all safety rules and will ask for clarification if needed.

Today's Date * +

Participant Signature *

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Today's Date +

Passenger Signature

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A Virtual Ride Participant Meeting for registered riders will happen on the last week in May/ beginning of June 2023 to discuss the Logistics and Ride Safe: AFRD's Team Ride Leader and Co-Ride Leader will lead the discussion.

AFRD Sponsorships Vendors and Contact Information:

The motorcycle charity ride - benefits all our staff and our community morale initiatives for our sworn men and women, civilians, and retirees of the Atlanta Fire Rescue Department. All our proceeds go to our Atlanta Fire Rescue Foundation.

There are vending opportunities for those who like to showcase their businesses. We welcome sponsorship involvement to help support our cause. Also, donations of any size are supportive. The sponsorship amount is $300. Our vending opportunities include two locations which are $200 inside our station bay area and $100 outside on the property.

You can click the below Submit Button to go to the online payment section.

If you have any questions, do not hesitate to contact us. Please reach out to our Ride Leader, Battalion Chief Gary Robb, Co-Chair Ride Leader, Battalion Chief Deaunte Grier, or Tammie L. Stallworth at (404) 546-7000 Field Operations Division of Atlanta Fire Rescue Department.

The Ride Team includes the following team members:

Captain Delante Quarterman Fire Lieutenant Christopher Robins Fire Lieutenant Kenneth Fain

Captain Bobby Stewart Fire Lieutenant Herschel Young

Captain Darrell Hall Fire Lieutenant Mario Dabney

Sponsor and Vendor Logos: