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Yes! I want to ride for Camp Ta-Kum-Ta!
Enter for your Chance to Win!Raffle tickets are limited to 150, the winner will be able
to choose a brand new CFORCE Utility ATV, a John Deere Gator, or $5,000 cash!
Tickets: $100 each • Drawing: July 13, 2019 after the ride!Tickets available at all starting locations and at
www.takumta.org – Call 372-5863 for more information.A big thank you to Lake City Choppers and Harvest Equipment for their support!
Payment OptionsRegistration A: $45 per rider, $65 for rider and passenger = $_________ Registration B: “ALL INCLUSIVE” $140 per rider, $160 for rider/passenger includes registration & one raffle ticket Raffle: $100 ea. X _______ = $_________ TOTAL AMOUNT ENCLOSED = $_________❒ Check Enclosed ❒ Cash ❒ Credit CardCredit Card #________________________ ❒ Visa ❒ MasterCard ❒ Amex ❒ Discover
Expiration Date: __________ Security Code: ________
Starting Point (Please check which location you will be starting from):❒ Lake City Choppers, Plattsburgh, NY ❒ Gr. Mountain Harley, Essex ❒ Roadside Motorsports, Williston ❒ Wilkins Harley Davidson, Barre ❒ R.R. Charlebois, Milton Virtual Rider❒ I cannot make the event, but I still want to support Camp Ta-Kum-Ta and receive my free T-shirt with a donation of $40!Please mail completed registration form and check (Made payable to Camp Ta-Kum-Ta) to: Camp Ta-Kum-Ta, Attn: Motorcycle Ride P.O. Box 459, South Hero, VT 05486
Please register online or return this form to Camp.
Rider Name _____________________________________________________________
Club Affiliation or Team (if applicable) _____________________________________
Rider Address ___________________________________________________________
City ____________________________________State __________ ZIP _____________
Rider Home Phone ( _______) ____________________________________________
Rider email _____________________________________________________________
Rider T-shirt size:* ❒ Small; ❒ Medium; ❒ Large; ❒ XL; ❒ XXL; ❒ XXXL *return form by June 14th, to guarantee t-shirt size
Passenger Name ________________________________________________________
Passenger email ________________________________________________________
Passenger T-shirt size: ❒ Small; ❒ Medium; ❒ Large; ❒ XL; ❒ XXL; ❒ XXXL
For 34 years, Camp Ta-Kum-Ta has provided a safe, loving place where children who have or have had cancer can play, swim, build friendships, find hope, laugh uncontrollably, and heal while making memories of a lifetime. For 26 years, Camp Ta-Kum-Ta took place annually at Camp Holy
Cross in Colchester, Vermont. In August of 2008, Camp Ta-Kum-Ta announced that it would move to South Hero. With the help of incredibly generous individuals and private organizations, Camp has constructed nine cabins (all with a b a t h r o o m to serve the needs of sick
children), an activities barn com-plete with a teen center and per-formance stage, an arts and crafts cabin, sports courts, a ropes course and climbing wall, and a pool. Additionally, a group of volunteers disassembled, moved, and reas-sembled our non-denominational chapel from the Camp Holy Cross property. In the Fall of 2017 we built a pool house and broke ground on a multi-purpose pavilion! This facility, in conjunction with incredibly loyal and passionate volunteers, has en-
abled Camp to grow into a year-round operation that serves both children and families. In addition to a thriving summer camp, there are programs in the fall, winter, and spring for campers, their sib-lings, and their parents!
About TKT!
2011
9thAnnual Ride
SaturdayJuly 13, 2019
until there’s a cure,there’s camp!
www.takumta.org
Please complete and return the registration form on the back of this brochure to Camp TKT. Your registration fee covers the cost of hosting the event; please consider asking family, friends, and businesses to pledge for your ride using the pledge form or the online site. All pledges will directly ben-efit Camp TKT. Fundraising for this ride is one way that you can help a sick child reclaim a childhood robbed by cancer.
All riders who fundraise will be entered into a select raffle!
Registration Instructions
• The 9th Annual Motorcycle Ride for Camp Ta-Kum-Ta will be Sat., July 13th. • Participants should meet at one of the 5 starting locations by the specified time or ride directly to Camp Ta-Kum-Ta.• Gas tanks must be full before leaving starting locations.• All 5 starting locations will meet at R.R. Charlebois (I-89 exit 17 and take Rt. 7 north). Kick stands up at 11:15 am for an escorted ride to Camp Ta-Kum-Ta in South Hero.
Starting LocationsChittenden County Routes 10:00am Green Mountain Harley, Essex (Registration: 9:00 -9:45am)
10:00am Roadside Motorsports, Williston (Registration: 9:00 -9:45am) 11:15am R.R. Charlebois, Milton (Registration: 10:30 -11:00am)
South East VT Route 9:30am Wilkins Harley Davidson, So. Barre (Registration: 8:30 -9:15am)
New York Route 9:30am Lake City Choppers, Plattsburgh (Registration: 8:30 -9:15am)
All Proceeds benefit: Camp Ta-Kum-Ta
Mail forms to: Camp Ta-Kum-Ta Attn: Motorcycle Ride
P.O. Box 459, South Hero, VT 05486www.takumta.org
Contact InformationDan Osman at [email protected]
or call 802-372-5863 for information
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Ride Day Details
The ride is followed by a Southern BBQ Lunch, door prizes,
50/50 & raffle drawing!
Southern BBQ Lunch
