of 1
Current View
Rally Pins to the first
All Pre-
Registrations must be postmarked by
No
refunds of registration postmarked after May 1
No animals or pets allowed in
Waiver: I/We agree to hold harmless GWRRA, the Co
in which I/we may become involved by reason of participation in this event. I/We also agree to assume responsibility for any
knowingly damage.
Rider
Signature:_______________________________________________________Date:___________________________________
2
nd
Rider/Co-
Rider Signature:____________________________________________ Date:___________________________________
Sign form and Mail with payment (p
ayable to GWRRA
DESCRIPTION_____
(All On Site Registrations will be an additional $5)
GWRRA Pre-Registered Member
GWRRA Life Member
NON-MEMBERS
Child 15 years or younger is FREE with registered Adult
Level IV Meal
Level IV Meal-Non-Current/Spouse
Opening Ceremony BBQ Dinner
Castle Tour/Ride Incudes Lunch –
Choose one
District
______
Registration form
Rider____
_____________________________GWRRA#_________________Exp:Date__________DOB:__________
2
nd
Rider/Co Rider_____________________ _GWRRA#_________________Exp:Date__________DOB:__________
City_____________________________State_____Zip Code_________Phone #(____)_
Rider’s e-mail________________
__________
Host Hotel
Best Western Inn of Brenham
1503 Hwy 290E
Brenham, TX 77833
979-251-7791
Rally Rate: $89.99
Pet Friendly
Reservation Code Gold Wing
Road Riders
Winging Back in History
Washington County Fair Grounds
Rally Pins to the first
200 registered
Registrations must be postmarked by
May 10
th
2018
refunds of registration postmarked after May 1
1
th
2018
No animals or pets allowed in
side except for Service Animals
Waiver: I/We agree to hold harmless GWRRA, the Co
-Sponsoring Organization, and any Property owners fo
r any loss or injuries to self or property
in which I/we may become involved by reason of participation in this event. I/We also agree to assume responsibility for any
Signature:_______________________________________________________Date:___________________________________
Rider Signature:____________________________________________ Date:___________________________________
ayable to GWRRA
-Texas) to Texas District
, PO Box 10438, Killeen, TX 76547
(All On Site Registrations will be an additional $5)
__
__
QTY _PRICE__ ___TOTAL _
______
$25 ea
______
$18 ea
______
$35 ea
Child 15 years or younger is FREE with registered Adult
______
PRE-REGISTRATION REQUIRED
______
$10 ea
______
$15
______ $
10
Choose one
Fri____ or Sat_____
______
$2
GRAND TOTAL
__________________
Registration form
Chapter______
Miles Traveled_______
_____________________________GWRRA#_________________Exp:Date__________DOB:__________
Rider/Co Rider_____________________ _GWRRA#_________________Exp:Date__________DOB:__________
City_____________________________State_____Zip Code_________Phone #(____)_
_______________________
__________
_________2
nd
Rider’s e-mail______________
_________
Texas District Rally
Winging Back in History
May 17-19, 2018
Washington County Fair Grounds
1305 E. Blue Bell Road
Brenham TX
*
Opening Ceremonies
Washington on the Brazos
23400 Park Road 12
Washington, TX 77880
*
Visit
*Check out the living history
day on Sat. at Washington on
r any loss or injuries to self or property
in which I/we may become involved by reason of participation in this event. I/We also agree to assume responsibility for any
property I/We
Signature:_______________________________________________________Date:___________________________________
Rider Signature:____________________________________________ Date:___________________________________
, PO Box 10438, Killeen, TX 76547
-0438
QTY _PRICE__ ___TOTAL _
$25 ea
_____________
$18 ea
_____________
$35 ea
_____________
_____________
$10 ea
__ ___________
$15
ea _____________
10
ea _____________
$2
0 ea _____________
__________________
Miles Traveled_______
_____________________________GWRRA#_________________Exp:Date__________DOB:__________
Rider/Co Rider_____________________ _GWRRA#_________________Exp:Date__________DOB:__________
_______________________
_________
__________
Opening Ceremonies
*
Washington on the Brazos
State Park
23400 Park Road 12
Washington, TX 77880
Visit
Blue Bell Creamery
*Check out the living history
day on Sat. at Washington on
the Brazos