FROGS FOR FREEDOM RUN 2011 Midwest Run - Saturday June 4% Fat Man Inn Pizza Pub 36309 N Skokie Hwy Gurnee, IL REGISTRATION Opens at 9:00 am eas Kickstands up 10:30 am $30 per rider (includes ride t-shirt/patch/coin while supplies last) $15 per passenger Police escorted Motorcycle & Fun Car Ride through Northern Illinois Return to same location for food, drinks, music, raffles & fun! All proceeds benefit The NAVY SEAL Foundation + Registration includes t-shirt, patch, & coin 2ShKORIFRY: wy a (while supplies last) a + Door prizes, raffle prizes, and 50/50 + 2-wheel, 3-wheel, 4-wheel riders all welcome + All proceeds benefit NAVY SEAL Foundation U.S. NAVY SEALS — *207tions are tax deductible TMIOAC yj . CHICAGO U'S AY Support U.S. NAVY Frogmen Sonia ae Mike Ryan (708) 408-7645 pice sean 00 WWW.NSWFOUNDATION.ORG lostingéSafisheglobal nat Jon Burrow (815) 341-8757 Coins: $3.00 WAWIUD ESEAL-ASSOCIATION ORG: jburrow@itwmilitaryproducts.com (Anyone can purchase Eric Burris (317) 402-3050 even if not participating) Seal Pup@msn.com Event Sponsors TM REVISION. ‘: Revision Eyewear CamelBak 36309 N Skokie Hwy www.revisioneyewear.com www.eamelbak.com . Gurnee, IL Sandwich, IL www.knucklehedzbar.comFROGS FOR FREEDOM MIDWEST MOTORCYCLE RUN 2011 Saturday June 4" 2011 FATMAN INN PIZZA PUB 36309 N Skokie Hwy Gurnee, IL 60031-1093 (847) 244-8300 RIDER ONLY: $30.00 1 2-UP ONE BIKE: $45.00 NAME (S): ADDRESS: CITY, ST & ZIP: PHONE: EMAIL: Hold Harmless Agreement Please Read Before Signing RIDE AT YOUR OWN RISK In consideration of participating in the “Frogs for Freedom” Midwest 2011 Benefit Motorcycle Run. I hereby waive, release and discharge Harley-Davidson and its subsidiaries, The UDT-SEAL Association, The Navy SEAL Foundation, FATMAN Inn Pizza Pub, Khayat Entertainment, and all participating charitable organizations, all motorcycle dealerships, their respective directors, officers, employees and agents (herinafter “released parties”) from and against any and all claims, demands and causes of action including, but not limited to death, personal injury and property damage, arising out of or connected in any way with my participation in said activity. I understand and agree that all participants and their guests participate voluntarily and at their own risk in the activity. I also agree to defend and indemnify the released parties with respect to any and all injuries and property damage to others that may result from my participation in the activity. I understand this means I agree not to sue the released parties for any personal or property damage I may sustain and I will defend and indemnify the released parties against any and all personal injury and property damage that I may cause by my participation in the activity. I further agree to waive all benefits flowing from any state statue that would negate or limit the scope of this Release and Indemnification Agreement. By signing the Release and Indemnifying Agreement, I certify 1 have read and fully understand it and | am not relying on any statements or representations made by the released parties. Signature(s): Signature(s) of Participant(s) — Rider & Pas: enger, if any