Inland Empire Corset Run
September 24th, 2011 at 9:30 AM.
Registration at Skip Fordyce Harley-Davidson
7688 Indiana Ave, Riverside, CA 92504
Run Information: If you done poker runs in the past this is sort of the same premise but with a new game, Yahtzee. Our Corset Cruise will
consist of 5 stops that will include the surrounding cities of The Inland Empire starting in Riverside.
For those not familiar with the rules of the game Yahtzee please click on THIS link. (http://www.hasbro.com/common/instruct/Yahtzee.pdf)
• Each participant will show up at the first stop on the cruise and recieve a cruise packet including a map of the route, address to each stop
on the cruise, a ticket voucher for Lunch, and a Each player will also be issued a number and a color.
• From this point you will find the color table that corresponds to your color and proceed to that table to play your first 3 turns.
• At each of the first four stops you will need to find your table (so your score can be accuratly kept) and will have 3 turns, in which there are
3 rolls of dice per turn.There will only be one turn at the last stop.
• The object is to fill every slot on your score card. turn your scorecard in to the table runner for stamping to verify your choices. If you fail to
acheive your rolled amounts , you will have to cross off a row.
• The player with the highest point total at the end of the cruise will win a cash prize, tbd on entries(in the event of a tie, the winner of the
prize will be determined by a sudden death best of 3 rock paper scissors match)
Registration and Packet Pick-up Information: Registration is $25.00 per bike. A event pin will be given i f
a corset is worn f o r the event by either rider or passenger. Registration includes, Yahtzee run, event pin (if in corset), & T-shirt.
Course Description: Approximately 100 miles and will take 2 hours, thirty minutes plus y o u r s t o p t im es .
Stops: Stops will consist of registration & beginning at Skip Fordyce with five stops in between & an ending location. Each shop i s located
near F o o d Establishments, Gas Stations, and Restrooms.
Awards: Will be given for best Y a h t ze e hand, along with contest for Best Dressed Corset, Bike Show, Raffles and 50/50
Turn in Entry Form & Cash, Check, or Charge
Address: City: State: Zip:
Phone: - - E-mail:
Each additional Yahtzee score sheet is $ 10.00:
Participant(s) disclaim and waive all claims against all parties indicated above (even if those parties are negligent) and
enter into this agreement knowing that motorcycle riding can be a hazardous sport and take full responsibility for any and
all injuries or damages.
In consideration of acceptance of participants to The CORSET POKER RUN/Ride by execution of this entry form, l/we hereby
release Dabney Properties L.L.C., Riverside Motorcycle, Inc. DBA, Skip Fordyce Harley-Davidson- Buell, Corona Harley-
Davidson, Harley-Davidson Motor Company, IE HOG/ LOH, CC HOG/LOH,WOMEN IN THE WIND, IE CHROME DIVAS,
Shareholders, Officers, Directors, Agents, Employees, Parent Companies, Related or Affiliated Companies, Subsidiaries,
Sponsors, Trustees, Receivers, Successors, Assigns, Volunteers and the City
in which the event is held, their employees, members officers or anyone else connected with this event of and from any and
all known and unknown damages, injuries, losses, expenses, judgments, attorney fees, and/or claims from
any causes whatsoever that may be suffered by anyone participating in this event, or by any spectators, participants,
sponsors, exhibitors, employees, volunteers or vendors.
By submitting the registration form, the participant(s) designated herein agrees to give said company, Riverside
Motorcycle, Inc. DBA, Skip Fordyce Harley-Davidson-Buell, Corona Harley-Davidson, Terri King, permission to charge a
credit card for the sum of the "Total". By submitting this registration, I/we also understands and agree to a NO REFUND
policy no matter what the circumstances and Riverside Motorcycle, Inc. DBA, Skip Fordyce Harley-Davidson-Buell, Corona
Harley-Davidson, Terri King, IE HOG/LOH, CC HOG/LOH, WOMEN IN THE WIND, IE CHROME DIVAS is not responsible for
any loss due to theft, injuries, losses, judgments, vandalism or negligence by any spectators, participants, sponsors,
exhibitors, employees, volunteers or vendors. The participant(s) understand this does not any way guarantee the location of the
event space or the success or failure of this event.
FINANCIAL RESPONSIBILITY RELEASE
Participant Agreement: READ THE FOLLOWING STATEMENTS CAREFULLY. This document discloses the guidelines and
responsibilities that accompany participation in the INLAND EMPIRE CORSET RUN/Ride 2011 and the reservation of the rights
to enforce said guidelines.
Disclaimer: Dabney Properties L.L.C., Riverside Motorcycle, Inc. DBA, Skip Fordyce Harley-Davidson-Buell, Corona Harley-
Davidson, Harley-Davidson Motor Company, Terri King, IE HOG/ LOH, CC HOG/LOH, WOMEN IN THE WIND, IE CHROME
DIVAS, and all parents, subsidiaries, members, shareholders, officers, directors, agents, sponsors, trustees, receivers,
successors, beneficiaries, and assigns of Skip Fordyce Harley-Davidson, in addition to all event vendors, participants, and
sanctioning bodies shall assume no liability or responsibility for injury, theft, damage, or loss that may occur or have occurred
while participating in the Inland Empire Corset Run/Ride 2011 and participant(s) agrees to hold them harmless there from.
Compliance: Registered drivers is/are adults (eighteen years or older). Participant(s) must possess a valid driver's license,
motorcycle liability coverage with minimum limits of 15,000/30,000 bodily injury, 10,000 property damage or statutory limit in state
of motorcycle registration. The participant(s) acknowledge and understand no insurance is available or coverage to the
participant(s) unless otherwise provided by private insurance obtained by the participant(s). Participant agrees to comply with any
and all rules of the parade/ride as set forth herein or that may be communicated to them or posted at the event. Participant
agrees to drive within the speed range instructed and shall not pass or overtake any lead rider at any time.
Participant(s) understands and agrees that if his/her vehicle is in an accident and/or causes damage to any
real or personal property, whether he/she is driving or another individual is driving with or without participant's permission or
knowledge, participant's vehicle may be impounded and held until participant reimburses Dabney Properties L.L.C., Riverside
Motorcycle, Inc. DBA, Skip Fordyce Harley-Davidson-Buell, Corona Harley-Davidson, Terri King, IE HOG/LOH, CC HOG/
LOH, WOMEN IN THE WIND,IE CHROME DIVAS and/or the injured party for any and all damages. Impounding of vehicles is
at the sole discretion of the Dabney Properties L.L.C., Riverside Motorcycle, Inc. DBA, Skip Fordyce Harley-Davidson-Buell,
For your safety and the safety of others, do not consume alcohol or other controlled substances before driving your vehicle.
Under no circumstances shall any participant or guest of participant be allowed to ride in the parade/ride or take part in any
activities if he/she is suspected of being under the influence of alcohol or other controlled substances.
Failure to comply with any and all rules, guidelines, or instructions shall be grounds for immediate expulsion
from the event at the sole discretion of the Dabney Properties L.L.C., Riverside Motorcycle, Inc. DBA, Skip Fordyce Harley-
Davidson-Buell, Corona Harley-Davidson, Terri King, IEHOG/ LOH, CC HOG/ LOH,WOMEN IN THE WIND, IE CHROME
Certification: I certify that I have read and understand the above statements. I accept the responsibility to
Comply with all event rules and regulations, all of which are subject to change at any time without notice. I acknowledge that I will
be held accountable for my actions and the actions of any individual found to be operating my vehicle, with or without my
knowledge and/or consent. I understand that non-compliance may result in expulsion from the event and/or impoundment of my
vehicle(s). I acknowledge that the documents provided by me for the event on September 24th, 2011 are valid and issued to me.
Passenger Signature Date
(Parent's Signature If under 18)