User account

Account information

Username: *

Your preferred username; punctuation is not allowed except for periods, hyphens, and underscores.

E-mail address: *

A valid e-mail address. All e-mails from the system will be sent to this address. The e-mail address is not made public and will only be used if you wish to receive a new password or wish to receive certain news or notifications by e-mail.

Password: *

Confirm password: *

Provide a password for the new account in both fields.

1 - Personal information

First name: *

Middle name:

Last name: *

Nicknames:

Enter any nicknames you commonly use relating to the Floribama Riders. This could include the one assigned to you by the Great Blutarski at a TRTEAR. Put each item on a separate line or separate them by commas. No HTML allowed.

FBR chapter: *

Choose the FBR chapter to which you belong.

Address 1: *

Address 2:

City: *

State: *

Zip: *

Phone - home: *

Phone - work:

Phone - cell:

Fax:

Web site address:

2 - Emergency contacts

Emergency contact #1 name: *

Emergency contact #1 phone: *

Emergency contact #2 name:

Emergency contact #2 phone:

3 - Membership information

Membership type: *

* Fees for regular members and life members include your choice of a baseball hat with the club logo or a t-shirt with the club logo.

** Fees for renewal include a leather key fob.

Note: To complete your registration, you must send the registration fee via PayPal to treasurer@floribamariders.com.

4 - Release of liability

Release of liability

I am of at least 18 years of age. I understand that the Floribama Riders cannot assume responsibility for any aspect of my safety and that if I participate in any Floribama Rider event, I do so voluntarily, on my own assessment of my ability, the routes, and all facilities and conditions, assuming all risk. And I release and hold the Floribama Riders, its officers and members, harmless for any injury and/or loss to my person or property which may result therefrom. I also certify that I am in compliance with my state's financial responsibility laws regarding the carrying of proper insurance, wearing of an appropriate helmet, and holding appropriate license for operating a motorcycle.

5 - Bikes

Type of bike(s) that you own:

Include make, model and year. Put each item on a separate line or separate them by commas. No HTML allowed.

Upcoming events

Suches Dual Sport Weekend(27 days)
Loretta Lynn Spring Dirt Ride(33 days)
The Ride to End All Rides (TRTEAR) 2010(68 days)
Hooch Dual Sport Ride (112 days)
Southern Woods Rider 5th Annual Tennessee 2-Day Off-Road Bike Ride(112 days)
FBR Track Day at TGPR (Little Talladega)(118 days)

Floribama Riders

User account

Upcoming events

Navigation