American Legion Riders
Motorcycle Association
Iowa Chapter
Post #2
Membership Application:
Name:__________________________________Nickname:______________________
Address:_______________________________________________________________
City, State and Zip:_______________________________________________________
Home Ph#(____)______________________Work Ph#___________________________
E-Mail:________________________________Birth Date_________________________
Type of Motorcycle (Must be street legal)_____________________________________
Size (Must be 350cc or larger________________Insurance Co:___________________
American Legion Membership Number:___________________Post#______________
Annual Membership Fee $10.00/Year if not a member of Post 2

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 any American Legion Rider members and their guest participate voluntarily and at their own risk in all activities of the American Legion and American Legion Riders.  I release and hold the American Legion Riders, the American Legion Officers or the American Legion harmless for any injury or loss to my person or property, which may result there from.  I understand that this means that I agree not to sue the American Legion Riders, the American Legion Rider Officers or The 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.  The above agreements and representations are and freely without coercion or duress.  This agreement may not be modified orally and may not be waived in any respect.

Signature:_________________________________________Date___________________
Witness Signature:__________________________________Date___________________
Witness Address__________________________________________________________