At the Manor, we serve adults with Developmental Disabilities. Our goal is to improve or maintain a person‘s skills so they can live a more independent life. Though people who have developmental disabilities face a more challenging future than most, they still can enjoy a full and active life. What they need most is encouragement, understanding, and the willingness of others to help them maximize their opportunities for becoming part of their community. Janey‘s Ride...the best motorcycle ride in the Northland...is the Manor‘s primary fundraising event. Thank you for choosing to be a part of maximizing opportunities for the residents of Immacolata Manor by joining in Janey‘s Ride.

First Name: Last Name: Email: Address: Apt/Suite: City: State: Alaska Alabama Arkansas Arizona California Colorado Connecticut District of Columbia Delaware Florida Georgia Hawaii Iowa Idaho Illinois Indiana Kansas Kentucky Louisiana Massachusetts Maryland Maine Michigan Minnesota Missouri Mississippi Montana North Carolina North Dakota Nebraska New Hampshire New Jersey New Mexico Nevada New York Ohio Oklahoma Oregon Pennsylvania Puerto Rico Rhode Island South Carolina South Dakota Tennessee Texas Utah Virginia Vermont Washington Wisconsin West Virginia Wyoming Zip Code: Passenger No Yes

Passenger Information
First Name: Last Name: Email: Address: Apt: City: State: Alaska Alabama Arkansas Arizona California Colorado Connecticut District of Columbia Delaware Florida Georgia Hawaii Iowa Idaho Illinois Indiana Kansas Kentucky Louisiana Massachusetts Maryland Maine Michigan Minnesota Missouri Mississippi Montana North Carolina North Dakota Nebraska New Hampshire New Jersey New Mexico Nevada New York Ohio Oklahoma Oregon Pennsylvania Puerto Rico Rhode Island South Carolina South Dakota Tennessee Texas Utah Virginia Vermont Washington Wisconsin West Virginia Wyoming Zip Code: T-Shirt Size: Small Medium Large Xtra-Large X-Xtra-Large

Club/Group/Team/Posse Name:

Captain Name: Dedication: Please Choose (optional) In Memory Of... In Honor Of... Dedicated to: Donation Would you like to participate in the Janey’s Ride Bike Show the day of the Ride?: Yes No

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Share the email address of your biker buddies and we‘ll send them a personal invitation from you to join the ride.

Friend's Email:

How did you hear about Janey‘s Ride?:

IM Newsletter Registration Event Flyer / Poster Postcard Friend Other

Waiver:
The undersigned (on my behalf and on behalf of my heirs, personal representative, successors, and assigns), for and in consideration of the opportunity to participate in a “Ride”, “Dice Run”, “Run”, “Rally”, “Field Meet”, and/or “Activity” (hereinafter, EVENT(s)) sponsored, conducted, and/or supported by Immacolata Manor, its sponsors, supporters, volunteers, board members, officers, directors, employees, and agents (hereinafter, the “RELEASED PARTIES”) releases and holds harmless the “RELEASED PARTIES” from any and all claims and demands, rights and causes of action of any kind whatsoever which I now have or later may have against the “RELEASED PARTIES” in any way resulting from, arising out of, or in connection with my participation in any said “EVENT(S)”.
This release extends to any and all claims I have, or later may have against the “RELEASED PARTIES” whether or not such claims result from negligence on the part of any or all of the “RELEASED PARTIES” with respect to the “EVENT(S)” or with respect to the conditions, qualifications, instructions, rules or procedures under which the “EVENT(S)” are conducted or from any other cause. I UNDERSTAND THAT THIS MEANS THAT I AGREE NOT TO SUE ANY OR ALL OF THE “RELEASED PARTIES” FOR ANY INJURY RESULTING TO MYSELF OR MY PROPERTY ARISING FROM, OR IN CONNECTION WITH SAID “EVENT(S)”.
I am experienced in, legally licensed for, and familiar with the operation of motorcycles and fully understand the risks and dangers inherent in motorcycling. I am voluntarily participating in the “EVENT(S)” and I expressly agree to assume any risk of any accidents or personal injury, including death, which I might sustain to my person or my property as a result of my participation in the “EVENT(S)” whether or not such risk results from negligence on the part of any or all of the “RELEASED PARTIES”.
By signing this Release, I certify that I have read this Release fully and understand it and that I am not relying on any statements or representations made by the “RELEASED PARTIES” and I agree that I participate in this event at my own risk.

For the safety of our residents, alcoholic beverages are not applicable to this event, and therefore not permitted.

I Agree

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