REGISTER FOR E-MAIL NOTIFICATION SYSTEM

On September 1st, 2010, The North Texas Patriot Guard Riders Updated Our E-Mail Notification System. All That Is Actually REQUIRED To Register Is Your Name And E-Mail Address and agree to the RELEASE OF LIABILITY.

In Addition, We Are Asking For Certain Demographics Data So We Can Better Understand Who Our Membership Actually Is. Your Information Will Be STRICTLY Private And Not Used For Any Other Purpose.

Note The "Help" Information On The Right Side Of The Screen When You Begin Entering Data.

Completing this form only subscribes you to the North Texas Notification System. It is recommended that you also go to the national PGR WEB site, http://www.patriotguard.org and sign up as a member.

Your Name: * First Last
Your Ride Name (Optional)

Another Name You Are Known By, Such As "Two Flats" (Taken!)
Your E-Mail Address: *

Almost ALL Contact With The North Texas PGR Is By E-Mail. A Copy Of This Request Will Be Sent To You.
Release of Liability: As a condition of my voluntary participation in PATRIOT GUARD RIDERS for myself and my heirs and assigns, I hereby release and discharge the PATRIOT GUARD RIDERS , its Board of Directors and Officers, volunteers and agents and any affiliated organizations and their respective officers, volunteers and assigns from any and all claims , demands, damages, or liabilities arising from injury to my person or property as the result of participating in the MISSION RIDE or other activity sponsored by PATRIOT GUARD RIDERS. I currently hold a valid drivers license with proper endorsement, and I have comprehensive motor vehicle liability insurance covering the vehicle, which I will be operating on MISSION RIDES.

Checking this box constitutes my acknowledgement of my agreement to the conditions of this document. * I Certify That I Am The Person Named Herein And I Agree With The Release Of Liability.
Agreeing To The Release Of Liability Is Required Whether Or Not You Actually Participate In MISSION RIDES Or Whether You Operate A Vehicle In Doing So!
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The Following Information Is Optional But Will Help Us Understand Who Our Members Are. ALL Information Will Remain Private.

Supply As Much Or As Little As You Like.
Your Phone Number: - (###) - ### ####
So We Can Contact You For Short Notice Missions.
Your City And State

Just So We Have An Idea Where Our Members Are. Sometimes We Have Special Missions In Certain Areas.
I Have Been A PGR Member Since:

Month And Year If Known, Just Year If Not. A Guess Is Acceptable.
Your Profession (If Retired, BEFORE Retirement!)

If Retired, BEFORE Your Retirement! Show As: "Retired - Professional Hit Man"
Please Check All That Apply: I Ride A Motorcycle On Most PGR Missions I Do Not Ride A Motorcycle I Am An Active North Texas PGR Participant I Am A PGR Participant In Another Region I Use This WEB Site And E-Mail Notifications For Information Purposes Only - I Am NOT An Active Participant. I Am A Gold Star Parent (Parent Of Someone Killed In Action) I Am A Veteran I Am A New Member
If Registering For Information Purposes ONLY, Please Tell Us Why:

Many Recipients Are Military, Media, Family, Etc. We Would Just Like To Know So We Can Taylor The Information.
Emergency Contact Name: First Last
Please Enter The Name Of Someone We Can Contact In The Event Of An Emergency.
Relationship

If "Other" Please Explain In Comments Below.
Emergency Contact's Phone Number: - (###) - ### ####
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North Texas PGR Family Album

You May Provide Your Favorite Photograph Or Allow Us To Choose One!

Please Send A Photo That Shows Your Face So We Can Identify You. There Should Be Only One Person In The Photo. If You Ride With A Passenger And Want To Include That Person, Please Name That Person.

You Can Send A Photo Or Replace A Photo At Any Time By Sending An Attachment In An E-Mail - Do Not Re-Register To Add Or Change A photo.

Do NOT Include An Apostrophy In The File Name.
Photo Selection You Have My Permission To Publish My Photograph In The Family Album. Do NOT Publish My Photograph In The Family Album (It May Still Appear In Mission Photos) Use The Photo Supplied Below Use The Photo Of YOUR Choice
A Photograph In Our "Family Album" Is A Good Way To Put A Name With A Face. If We Use A Photo Of OUR Choice, It Will Be A Professional One - Nothing Embarrassing! You Can Also Change It Later.
Upload A Photograph

You May Upload Your Favorite Photograph.
Any Additional Information You Want Us To Know.

Anything At All!
Comments:

Any Criticisms, Comments, Or Suggestions Are MOST WELCOME

REGISTER FOR E-MAIL NOTIFICATION SYSTEM

REGISTER FOR E-MAIL NOTIFICATION SYSTEM

----------------------------------------------------------------------The Following Information Is Optional But Will Help Us Understand Who Our Members Are. ALL Information Will Remain Private.

----------------------------------------------------------------------North Texas PGR Family Album

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The Following Information Is Optional But Will Help Us Understand Who Our Members Are. ALL Information Will Remain Private.

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North Texas PGR Family Album