6th Annual Journey For Jay Motorcycle Ride
Date: 06/19/2010
Registration/ Lineup begins: 12:00 PM
Early Registration by: 06/12/2009
For more information, visit: www.journeyforjay.org
Proceeds will benefit the
C.O.P.S. Kids Camp in East Troy, WI
Entry costs (includes post-ride party):
$20.00 per person
Not riding, but would like to attend the post-ride party?
$20.00 per person
Same day registration is $25.00 per person for ride and/or party
Mail for and entry fee to:
Journey For Jay
S81 W23650 Sunset View Dr.
Big Bend, WI 53103
Name of Rider/Attendee:________________________________________________

Name of Passenger:____________________________________________________

Address:_______________________________________________________(optional)

Email Address:________________________________________________(optional)

Phone:________________________________________________________ (optional)
# Attending Ride and Party: __________

# Attending Ride Only:           __________

# Attending Party Only:         __________
Total amount enclosed:  $ _____________
Make Checks Payable to:
Journey for Jay
Notice of cancellation of the ride due to inclement weather will be posted on the website the morning of the ride.
Note:
Please submit one
registration form
per motorcycle