SRC Form Page | Blue Knights FLXVIII

2023 SRC SPRING CONFERENCE
ONLINE REGISTRATION

Member Profile

Members First Name

Members Last Name

Members Phone

Age

Members Email

Member BK Chapter

Distance to Event

Street Address

Street Address Line 2

City

State/Province

Zip Code

Country

Passenger First Name

Passenger Last Name

Passenger Phone

Registration and T-Shirt Orders

Registration Fee (per person):
$70.00 before March 1st, 2023
$80.00 after March 1st, 2023

Registration Fee

Conference T-Shirts (Mens or Ladies) $20.00 Each:

Men's T-Shirts:

# of Mens Shirts

Mens Shirt Size

Total Mens Shirts

Ladies T-Shirts:

# of Ladies Shirts

Ladies Shirt Size

Total Ladies Shirts

Total Amount Due:

Dinner : Buffett with several options

PARTICIPANT’S AGREEMENT (PLEASE READ AND SIGN): The participant and rider, shall indemnify, hold harmless, and release from any and all liability, the Blue Knights International Law Enforcement Motorcycle Club, Inc., its Conferences, Chapters, Officers, Directors, Members, Agents and Employees or anyone directly or indirectly employed by them from and against all claims, injuries, damages, losses, and/or expenses including attorney’s fees arising out of or resulting from participation in any Blue Knights Florida Chapter XVIII event on Thursday, April 27 thru Sunday, April 30, 2023.

Refunds returned by written request only. No cancellations or refunds after April 20th, 2023.

I agree to the terms & conditions

Member Signature

Riders Signature

REGISTRATION CANNOT BE COMPLETED UNTIL PAYMENT IS RECEIVED

Mail your check or money order to:

BLUE KNIGHTS FLXVIII, PO Box 2031, Sarasota, FL 34230

Make Checks payable to BLUE KNIGHTS FLXVIII

For more information contact: Patrick Gibbons at PJGIBBY1969@COMCAST.NET or

Rory MacConnell at MAC71037@VERIZON.NET

FOR ROOM RESERVATIONS CALL: Ramada by Wyndham - Hotel Venezia Venice Florida, at 941 308- 7700 and tell them you are with the BLUE KNIGHTS (USE CODE BKSRC). The Ramada by Wyndham - Hotel Venezia Venice Florida, is a 3.5 stars hotel located at 425 Us Highway 41 Bypass N, Venice, FL 34285 US. When you stay at Ramada by Wyndham Venice Hotel Venezia in Venice, you'll be near the beach, within a 5-minute drive of Venice Theater and Venice Beach. This hotel is 3.4 mi (5.5 km) from Nokomis Beach and 3.9 mi (6.3 km) from Fox Lea Farm.

NOTE: A “RIDER” is defined as the operator of a motorcycle and NOT a passenger. Riding distance awards are for riders that ride the motorcycle to the event. All awards will be based upon information placed on the registration card given at time of registration. Presentations of awards will be about 9 PM, Saturday night, April 29th, 2023.

Thank you for submitting!