Underground Railroad Re-Run

Register Online Now

Reservation Form & Waiver ($35 per person)

PERSONAL INFORMATION
VEHICLE INFORMATION
Person to notify in case of emergency:
ADDITIONAL INFORMATION
Waiver*
I wish to participate in the Underground Railroad Re-Run’s non-competitive motorcycle run. I understand that by participating, I will be using public places, public streets and facilities where many hazards exist and I am aware of and appreciate the risks, which may result. I am also aware that accidents can occur and that I may be seriously injured or killed as a result. I am voluntarily participating in this event with knowledge of the dangers involved and I agree to accept any and all risks of injury or death. In consideration for being permitted to participate in the Underground Railroad Re-Run’s motorcycle run, I agree to assume all risks and to release and hold harmless Underground Railroad Re-Run.; and their affiliated organizations, sponsors, officials, communities, participating clubs, who, through negligence, carelessness or any other cause, might otherwise be liable to me. I am physically capable of participating in Underground Railroad Re-Run’s motorcycle run and my medical care provider knows of and has approved my participation. If I am aware of or under treatment for any physical infirmity, ailment or illness, my medical care provider knows of and has approved my participation in Underground Railroad Re-Run’s motorcycle run. I acknowledge that I, and I alone, am solely responsible for my personal health and safety, and the personal property I bring with me. I will read and abide all rules and regulations established by Underground Railroad Re-Run; organizers and personnel. I have carefully read this Waiver and fully understand its contents. I am aware that this is a RELEASE OF LIABILITY and a contract between me and the persons and entities mentioned above and all of their respective officers, directors, agents and representatives and I sign it of my own free will. By signing below, I signify my agreement to the above.

Release*
I understand that my name, photograph, voice or likeness may be used by Underground Railroad Re-Run and their affiliates. I consent to and authorize, in advance, such use and waive my rights of privacy I have in connection therewith, I have carefully read this Release and fully understand its contents. I am aware that this is a RELEASE OF LIABILITY and a contract between me and the persons and entities mentioned above and all of their respective officers, directors, agents and representatives and I sign it of my own free will.

Statement of Responsibility*

I have voluntarily entered a symbolic rerun of the Underground Railroad (UGRR). Knowing that all motor vehicles are potentially dangerous during travel, I take part in this run based on my own assessment of my riding abilities and full acceptance and responsibility of all travel risk. The route will utilize public highways and the UGRR is not responsible for their condition nor the actions of other individuals using public highways. UGRR does not warrant that the facilities, routes or highways are inspected and safety guaranteed.

The UGRR encourages me to wear appropriate safety apparel. I’m also urged to receive professional riding instruction before operating my motorcycle. The UGRR will not provide medical insurance. Therefore, I am encouraged to provide my own.
If I:

  • have any doubts about my personal ability to ride in this event or
  • have not adequately prepared myself and my vehicle or
  • question the condition and safety of public highways or
  • question the safety in riding in groups or
  • believe my personal insurance coverages are not adequate to compensate me for any loss that might occur or do not feel comfortable for any reason

Then I:
  • am strongly and firmly encouraged to withdraw from the Ride and
  • notify the UGRR Registration Unit of my withdrawal no later than 20 days before the ride. UGRR will be happy to refund my registration fee as long as notice is received no later than 20 days before the ride.
I accept all these conditions above with my signature below.

To Register Online Click the Link Below

REGISTER NOW – https://undergroundrailroadrerun.org/about-the-run/register-online-now/

TO MAIL REGISTRATION, please follow the instructions below:

  1. Mail the completed Registration & Emergency Forms to:
    UGRR
    Attn: Gailya Porter
    P. O. Box 2773
    Jackson, MS 29604
  2. Mail $35 (per person) check or money order payable to UGRR to P. O. Box 2773, Jackson, MS 29604 or click here to pay using Paypal 
    Note: *A receipt will be sent via email or return address.

Downloadable Forms