Register

Use your browser's print command to print this.

Fill out the entire form, then PRINT the form. Your registration will not be processed until your payment (check or money order only, please) and signed registration form are received in the mail. Please fill in ALL fields unless they do not apply (like - no cell phone number). Each person attending must fill out and sign a form and the registration fee is per person. An email confirmation will be sent to you after receipt of payment. Thanks. See you in Moab, Utah! Please bring proof of motorcycle insurance to the event!!!

Please make your check or Money Order payable to: Canyonlands Cruise-In David G. Pitchell and mail to:
ISRA Canyonlands Cruise-In
Attention: David G. Pitchell
1044 West Shepperd Ave.
Littleton, CO 80120

Personal information: Click HERE if you want to email the Cruise-In Director

ISRA # click to find	Not Required	e-mail address:
First Name:		Last Name:
Address:		Delphi Forum Nickname	The name you use on the forum or a nickname
City:		State or Province:
Zip (postal code)		Country:	(ex: USA, Australia)
Home Phone Cell		Birth date:	Year (xxxx): Not required

Motorcycle information:

Please select the make of your motorcycle:
If your make is not listed, please type it in the Comments section

Model:

Year (ex:1999): Color:

License Plate #: State:

Emergency Contact information:

Full Name: Phone number:

Relationship to you: ( mother, etc.)

I am registering for:


ISRA Canyonlands Cruise-In 2007 Event, $45.00 (Pre-registration includes a Cruise-In pin and BBQ dinner &Party): Final cut-off date for Pre-registration is June 10th (Registration form should be in our hands by June 10th -- Please mail by June 5th or sooner); (On-site registration is $45.00 and does not include a pin.)

MINOR (under 18 years old), ISRA Canyonlands Cruise-In 2007 Event $30.00 (includes a pin ): (A parent or legal guardian MUST sign an insurance release form at the event)
: (On-site registration is $30.00 and does not include a pin).; T-Shirt orders MUST be in on or before May 31st; )
Canyonlands Cruise-In 2007 T-Shirt , $20.00 each (On-site will be $20.00 each, very limited quantity): Enter Qty: S M L XL XXL; 3XL 4XL
Extra Cruise-In 2007 Event Pin, $5.00 each -- Enter Quantity:

Total of all items checked above: $enclosed: Note, pre-ordered T-shirts and Pins will be ready at Registration in Moab, Utah

While we're asking...

Please remember to print the form, sign it and mail it with your payment!

ISRA Indemnification Statement

The INTERNATIONAL STAR RIDERS ASSOCIATION (hereafter known as ISRA), including its presence on the Internet in various forms and its Constellations (Branches) throughout the world, is not sanctioned by any other organization or individual. The ISRA organization, its representatives, office holders, officials, sponsors, or any individual member(s) of the ISRA connected to it in any manner, can never be held liable for, or assume any responsibility for; 1)any person's participation or attendance at any event, ride or meeting held under the auspices of the ISRA; 2)any property lost, stolen or damaged during such events, rides or meetings; 3)any physical or mental injury sustained during said events, rides or meetings; 4)any personal injury or property damage sustained as a direct or indirect result of any alteration or modification to any motorcycle by any person based on information obtained from the ISRA. All individuals accept complete responsibility for his/her own self while attending or participating in any event, or in making any alterations or modifications to a motorcycle, with no recourse against the ISRA or any individual connected in any manner to the ISRA, or acting as its officer, agent, employee, consignee, vendor or sponsor.

The undersigned understands and agrees to the ISRA indemnification statement as stated above.

Signature and Date: