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2021 RIDE FOR DRAGONFLY REGISTRATION & SPONSORSHIP FORM

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Ride for Dragonfly Logo
JOIN US 9/18/2021 FOR THE 4th ANNUAL RIDE FOR DRAGONFLY
SPONSORED BY QUEEN CITY HARLEY-DAVIDSON


This form is for online payment.
If you prefer to pay by check, please email us at Ride@Dragonfly.org. Payment can be mailed to The Dragonfly Foundation at 506 Oak Street, Cincinnati, OH 45219.
  • All makes and models are welcome!
  • This is a DRY RIDE until kickstands are down at Queen City Harley-Davidson in Fairfield, OH. 
  • No colors, please.
  • WAIVERS & MINORS
  • If you would like to purchase a t-shirt, please email Mary Tignor at m.tignor@dragonfly.org. Short sleeve shirts are $15. Long sleeve shirts are $20.
    • EVERY adult that is going to ride must sign the Adult Waiver Form ON THE DAY OF THE RIDE. No signed waiver, no ride. 
    • CHILDREN MUST BE 16 YEARS OR OLDER TO RIDE
Registrant/Sponsor Information










Please use hyphens, not periods or slash marks

RIDER REGISTRATION (ALL MAKES WELCOME!)



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SPONSORSHIP
SPONSORSHIP


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NEXT: Payment Information

Page 2 of 3: REGISTRANT/SPONSOR INFORMATION

REGISTER/SPONSOR BEFORE 8/23 AND RECEIVE A FREE T-SHIRT
One t-shirt with single registration and two with a double rider registration. 

Sponsors will receive a free shirt/rider included in their sponsorship level.

Please email your shirt size to Ride@Dragonfly.org 

Additional shirts may be purchased for $15/each.
TOTAL: REGISTRATION & SPONSORSHIP
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REGISTRATION SUMMARY

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Payment Information