America's 9/11 Ride.
Please Select Fire/EMS or Police Escort |
Fire/EMS
Police |
If regiastering as an Motorcycle Escort
are you and the others Certified Motorcycle Officer(s)? |
Yes
No
N/A |
Lead Officer First Name |
Required. |
Lead Officer Last Name |
Required. |
Department |
Required. |
Chief or Sheriff Name |
Required |
Department Address |
Required. |
City |
Required. |
State/Province |
Select State or Province. Zipcode
RequiredMinimum number of characters not met.Exceeded maximum number of characters. |
Country |
|
Email Address |
Required.Invalid format. |
Contact Phone Number |
Required.Invalid format. |
Where are your starting from |
|
Rooms Required Where? |
Please select an item. |
Are You Being Paid By Your Dept? |
Yes, I am Being Paid
Attending With Permission |
Please choose your escort vehicle type |
Please make a selection. |
Length of Equipment or Trailer |
|
This year we must charge $35.00 for each Polo Shirts.
Doing this provides additional funding for the scholarships.
The system will enter all this in the cart and you must then check out to pay for the shirts.
|
Your Polo Shirt Size |
|
Registering Others Please Provide Names Phone Numbers and Their Polo Shirt Sizes(if desired)
|
Name
Phone
Motorcycle Escort
Ambulance
Support Vehicle
Vehicle w/Trailer
Shirt Size
Name
Phone
Motorcycle Escort
Ambulance
Support Vehicle
Vehicle w/Trailer
Shirt Size
Name
Phone
Motorcycle Escort
Ambulance
Support Vehicle
Vehicle w/Trailer
Shirt Size
Name
Phone
Motorcycle Escort
Ambulance
Support Vehicle
Vehicle w/Trailer
Shirt Size
Name
Phone
Motorcycle Escort
Ambulance
Support Vehicle
Vehicle w/Trailer
Shirt Size
Name
Phone
Motorcycle Escort
Ambulance
Support Vehicle
Vehicle w/Trailer
Shirt Size
Name
Phone
Motorcycle Escort
Ambulance
Support Vehicle
Vehicle w/Trailer
Shirt Size
|
Do You Know of Anyone Who
Can or Might Assist With The
Hotel Costs - or - how many Donation Jars
would you like? |
|
All personnel will be two to a room.
If there is an odd number of officers from your department registering and you know of another officer that you would like share rooms with please put that in the comments.
This year we are asking for your help to try to assist in covering the expenses incurred with your hotel rooms.
We would like to send you some donations jars to be placed out in the community so that others can help offset the room costs.
Donations Jars can be sent to you so that you can set them out in local businesses
and utilize those funds to help offset expenses.
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Entering the 'Submit Entry' states that you agree with the above, and if shirts were ordered it will take you to check out screen to pay for the shirts.
If you have any question please email Allisont or Ted at americas911foundation.org
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If the Submit does not work scroll upward to see what is required or missing |