Rally Registration Please enable JavaScript in your browser to complete this form.Please enable JavaScript in your browser to complete this form. 4x4s? member Email Driver InformationDriver Full Name *FirstLastDriver Address *Address Line 1Address Line 2City--- Select state ---AlabamaAlaskaArizonaArkansasCaliforniaColoradoConnecticutDelawareDistrict of ColumbiaFloridaGeorgiaHawaiiIdahoIllinoisIndianaIowaKansasKentuckyLouisianaMaineMarylandMassachusettsMichiganMinnesotaMississippiMissouriMontanaNebraskaNevadaNew HampshireNew JerseyNew MexicoNew YorkNorth CarolinaNorth DakotaOhioOklahomaOregonPennsylvaniaRhode IslandSouth CarolinaSouth DakotaTennesseeTexasUtahVermontVirginiaWashingtonWest VirginiaWisconsinWyomingStateZip CodeDriver Phone Number *Driver Email Address *Driver Club Affiliation *Navigator InformationNavigator Full Name *FirstLastNavigator Address *Address Line 1Address Line 2City--- Select state ---AlabamaAlaskaArizonaArkansasCaliforniaColoradoConnecticutDelawareDistrict of ColumbiaFloridaGeorgiaHawaiiIdahoIllinoisIndianaIowaKansasKentuckyLouisianaMaineMarylandMassachusettsMichiganMinnesotaMississippiMissouriMontanaNebraskaNevadaNew HampshireNew JerseyNew MexicoNew YorkNorth CarolinaNorth DakotaOhioOklahomaOregonPennsylvaniaRhode IslandSouth CarolinaSouth DakotaTennesseeTexasUtahVermontVirginiaWashingtonWest VirginiaWisconsinWyomingStateZip CodeNavigator Phone Number *Navigator Email Address *Navigator Club Affiliation *Best Way To Contact *EmailPhoneTeam/Vehicle/Class InformationTeam NameOptional Team NameVehicle Information *Color, Year, Make, Model, State, License Number. Mark All Requirements *Has Drivers LicenseVehicle Is InsuredVehicle Tabs Are CurrentThese are required items to competeSelect Your Rally Class *--- Select Choice ---On-Road ClassOff-Road ClassOn-Road Class: Mainly on-road driving, with minimal dirt/gravel roads. Vehicles must be street legal to allow for transport from Start to Finish. Off-Road Class: Minimal on-road driving, with majority off-road challenges. Vehicles must be street legal to allow for transport from Start to Off-Road Course, and then to Finish. Are You Interested in becoming a member of RS 4x4s? *YesNoAre You Interested in Event Apparel? *YesNoIndemnity and Registration Payment InformationIN CONSIDERATION of being allowed to participate in any way in any on/off-road rally (*the rally"): 1. I UNDERSTAND AND AGREE that, although I have been supplied with certain information on the prescribed rally course, the nature of the rally does not permit me to inspect the prescribed course or any portion of the prescribed course or the immediately adjacent areas thereof with which I may come In contact during the rally prior to my participation in the rally. I understand and agree that, if at any time, I feel anything to be UNSAFE, I will Immediately take all necessary precautions to avoid the unsafe area and REFUSE TO PARTICIPATE further in the rally. 2. I understand that participation in the rally involves RISKS AND DANGERS, BOTH KNOWN AND UNKNOWN, of serious BODILY INJURY, including PERMANENT DISABILITY, PARALYSIS, DEATH, and property damage. 3. I ASSUME FULL RESPONSIBILITY FOR ANY AND ALL SUCH RISKS OF BODILY INJURY OR DEATH TO MYSELF, OR OF PROPERTY DAMAGE TO MY PROPERTY arising out of or related to my participation in the rally, even it caused, in whole or in part, by the NEGLIGENCE OF THE "RELEASEES* NAMED BELOW. 4. I HEREBY RELEASE, WAIVE, DISCHARGE AND COVENANT NOT TO SUE the promoters, participants, officials, car owners, drivers, crew members, rescue personnel, sponsors, advertisers, owners and leasees of premises used to conduct the rally, premises and event inspectors, surveyors, underwriters, consultants and others who give recommendations, directions, or instructions or engage in risk evaluation or loss control activities regarding the premises or rally and each of them, their directors, officers, agents, and employees, all for the purposes herein referred to as "Releasees, FROM ALL LIABILITY TO ME, my personal representatives, assigns, heirs, and next of kin FOR ANY AND ALL LOSS OR DAMAGE, ANY CLAIM OR DEMANDS THEREFORE ON ACCOUNT OF INJURY TO ME OR MY PROPERTY OR RESULTING IN MY DEATH ARISING OUT OF OR RELATED TO MY PARTICIPATION IN THE RALLY, WHETHER CAUSED BY THE NEGLIGENCE OF THE RELEASEES OR OTHERWISE. 5. I HEREBY AGREE TO DEFEND, INDEMNIFY AND SAVE AND HOLD HARMLESS the RELEASEES and each of them from any loss, liability, damage, or cost that may in our due to claims brought against the RELEASEES arising out of my injury or death while I am participating in the rally and WHETHER CAUSED BY THE NEGLIGENCE OF THE RELEASEES OR OTHERWISE. 6. I HEREBY AGREE that this agreement shall be binding and enforceable against me, my personal representatives, agents, spouse, assigns, heirs, and next of kin without limitation. 7. I HAVE READ THIS RELEASE AND WAIVER OF LIABILITY, ASSUMPTION OF RISK AND INDEMNITY AGREEMENT, UNDERSTAND ITS TERMS. AND UNDERSTAND THAT I HAVE GIVEN UP SUBSTANTIAL RIGHTS BY SIGNING IT, AND HAVE SIGNED IT FREELY AND VOLUNTARILY WITHOUT ANY INDUCEMENT, ASSURANCE OR GUARANTEE BEING MADE TO ME AND INTEND MY SIGNATURE TO BE A COMPLETE AND UNCONDITIONAL RELEASE OF ALL LIABILITY TO THE GREATEST EXTENT ALLOWED BY LAW.Indemnity Acknowledgement *We agree to the terms above, and participate in this event at our own risk, and hold RattleSnake 4x4s (RS 4x4s) & Friends of Disabled Veterans (FODV) completely harmless in any event of injury, illness, or legal inquiries.Registration Type *Driver + Navigator - $55.00Driver + Navigator + 1 Additional Meal Ticket - $65.00Driver + Navigator + 2 Additional Meal Tickets - $75.00Driver + Navigator + 3 Additional Meal Tickets - $85.00Each registration covers Driver & Navigator entry and 2 meals, additional meal choices are available, and include a $5 transaction fee, to offset the fees charged for this collection.Total Order Summary Item Quantity Qty Total There are no products selected. Registration Type - Driver + Navigator1$55.00Registration Type - Driver + Navigator + 1 Additional Meal Ticket1$65.00Registration Type - Driver + Navigator + 2 Additional Meal Tickets1$75.00Registration Type - Driver + Navigator + 3 Additional Meal Tickets1$85.00SubtotalTotal$0.00 $0.00Stripe Credit Card *Custom Captcha * = RegisterSave and Resume Later Your form entry has been saved and a unique link has been created which you can access to resume this form. Enter your email address to receive the link via email. Alternatively, you can copy and save the link below. Please note, this link should not be shared and will expire in 30 days, afterwards your form entry will be deleted. Copy Link Email * Send Link