III Rivers UK Chapter
No. 9979

CHAPTER MEMBERSHIP – ENROLEMENT FORM

III Rivers Membership Fees for 2023/24 are £20 for a Single Membership and £30 for a Joint Membership (two H.O.G. members living at the same address)

For BACS payments please use the following information:

A/c Name: III Rivers HOG UK, Sort Code: 30-95-28, A/c no: 04305738, please put a reference for example : SUBS -(Your Surname)

 

    Member Information

    Emergency Contact Information

    Second Member Information

    H.O.G Number

    H.O.G Expiry

    First Name

    Last Name

    Contact Number

    Address Line 1

    Address Line 2

    Town

    County

    Post Code

    Emergency Contact Information

    Name

    Contact Number

    Relationship

    Terms and Conditions:

    I have read the Annual Charter for H.O.G Chapters and hereby agree to abide by it as a member of this dealer sponsored Chapter.

    I have read the By-Laws for III Rivers Chapter and hereby agree to abide by them as a member of this dealer sponsored Chapter.

    I recognise that while this Chapter is chartered with H.O.G., it remains a separate, independent entity solely responsible for its own actions.

    I agree that the Sponsoring Dealer, H.O.G., H.O.G. Chapter Officers, Harley‐Davidson Inc., Harley‐Davidson Motor Company, Harley‐Davidson Europe Ltd, and any of its corporate affiliates, and their respective officers, directors, employees and agents (hereinafter, the "RELEASED PARTIES") shall not be liable or responsible for damage to my property occurring during any H.O.G. or H.O.G Chapter activities and resulting from acts or omissions occurring during the performance of the duties of the Released Parties, even where the damage is caused by negligence (except wilful intent).

    I understand and agree that all H.O.G. members and their guests participate voluntarily and at their own risk in all H.O.G. activities and I assume all risks arising out of the conduct of such activities. I release and hold the "RELEASED PARTIES" harmless from any loss to my property which may result from my participation in H.O.G. activities and events. I UNDERSTAND THAT THIS MEANS THAT I AGREE NOT TO SUE THE "RELEASED PARTIES" FOR ANY DAMAGE TO MY PROPERTY ARISING FROM OR IN CONNECTION WITH THE PERFORMANCE OF THEIR CHAPTER DUTIES IN SPONSORING, PLANNING OR CONDUCTING SAID EVENT(S), EXCEPT IN THE CASE OF WILFUL INTENT BY THE RELEASED PARTIES. Nothing in this disclaimer is intended to release any party mentioned herein for any liability for injury or death caused through that party’s negligence.

    By agreeing to this Release, I certify that I have read this Release and fully understand it and that I am not relying on any statements or representations made by the RELEASED PARTIES.

    The information you provide in this form will be used solely for dealing with you as a member of the III Rivers UK Chapter (“The Chapter”). The Chapter has a Data Privacy Policy which can be found at www.iiirivershogchapter.co.uk.

    Your data will be stored and used in accordance with this Policy. By signing this form you are consenting to The Chapter to collect this data, store it and process it only for the purpose of running The Chapter and keeping a record of your participation as a guest. Photographs or videos may be taken at ride outs or events organised by The Chapter and those published on our website or social media channels to promote The Chapter. By participating in these ride outs or events you will be consenting to your image being used by The Chapter in this way.

    If you later wish to withdraw consent, please contact the Membership Officer by email membership@iiirivershogchapter.co.uk or by telephone 07785761470.

    By you submitting images to The Chapter to be used on our website or social media, you agree to assign any right of ownership of those images to The Chapter.

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