Catskill 300 Sign Up Sheet

Riders Name           

Passengers Name    

Riders Email           

Riders Zip Code       

Emergency Contact Name   

Emergency Contact Phone   

Are you planning to attend the pre ride dinner?    No Yes   at Gully's Restaurant
                                                (lower deck dinning room) Newburgh, NY 7:30 PM
                                                                                         

Are you currently a member of SCRC ?                   No Yes

Make & Model of Motorcycle