Registration Form – 2018

Registration Form - 2018

Register online today to reserve your spot for the 2018 Rally on the Rocks. You really don't want to miss it!

Step 1 of 4

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Name*
First Last
Address*
Street Address City State / Province / Region ZIP / Postal Code Country
Phone*
Email*

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Total
$0.00
Number of Machines*
If you are bringing more than one machine, please let us know here. This is so we can accurately limit the trail numbers for the BLM.
Ridings
Price: $0.00
Number of Adults (12 years or older) in your party (Machine 1)
Guided trail rides are now charged on a per person/per day basis. Children 11 and under are free.
Number of childrens 11 years of age or younger. (Machine 1)*
Please list the names and ages of each child.
one name per line or separate each name with a comma.
Adult 1 (Machine 1)
Name*
First Last
Purchase Hat ($15)*
- No (Hat)
- Yes (Hat)
(one size fits all)
Purchase T-Shirt ($15)*
Purchase Sweatshirt ($25)*
Trail fundraising dinner ($15)*
- No
- Yes
Adult 2 (Machine 1)
Name*
First Last
Purchase Hat ($15)*
- No (Hat)
- Yes (Hat)
(one size fits all)
Purchase T-Shirt ($15)*
Purchase Sweatshirt ($25)*
Trail fundraising dinner ($15)*
- No
- Yes
Adult 3 (Machine 1)
Name*
First Last
Purchase Hat ($15)*
- No (Hat)
- Yes (Hat)
(one size fits all)
Purchase T-Shirt ($15)*
Purchase Sweatshirt ($25)*
Trail fundraising dinner ($15)*
- No
- Yes
Adult 4 (Machine 1)
Name*
First Last
Purchase Hat ($15)*
- No (Hat)
- Yes (Hat)
(one size fits all)
Purchase T-Shirt ($15)*
Purchase Sweatshirt ($25)*
Trail fundraising dinner ($15)*
- No
- Yes
Number of Adults (Machine 2)
Number of Adults (12 years or older) in your party (Machine 2)
Guided trail rides are now charged on a per person/per day basis. Children 11 and under are free.
Number of childrens 11 years of age or younger (Machine 2)*
Please list the names and ages of each child.
one name per line or separate each name with a comma.
Adult 1 (Machine 2)
Name*
First Last
Purchase Hat ($15)*
- No (Hat)
- Yes (Hat)
(one size fits all)
Purchase T-Shirt ($15)*
Purchase Sweatshirt ($25)*
Trail fundraising dinner ($15)*
- No
- Yes
Adult 2 (Machine 2)
Name*
First Last
Purchase Hat ($15)*
- No (Hat)
- Yes (Hat)
(one size fits all)
Purchase T-Shirt ($15)*
Purchase Sweatshirt ($25)*
Trail fundraising dinner ($15)*
- No
- Yes
Adult 3 (Machine 2)
Name*
First Last
Purchase Hat ($15)*
- No (Hat)
- Yes (Hat)
(one size fits all)
Purchase T-Shirt ($15)*
Purchase Sweatshirt ($25)*
Trail fundraising dinner ($15)*
- No
- Yes
Adult 4 (Machine 2)
Name*
First Last
Purchase Hat ($15)*
- No (Hat)
- Yes (Hat)
(one size fits all)
Purchase T-Shirt ($15)*
Purchase Sweatshirt ($25)*
Trail fundraising dinner ($15)*
- No
- Yes

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Choose the trails you would like to attend at the rally for each day. Be sure to check the description on the right (hover over the trail names) to be sure your machine meets the required specs. To see a complete list of trail descriptions and their difficulty ratings click here.
T=Trailer required to get to trail head.
All trail selections this year are FINAL. There will be NO trail changing this year.
Day 1 - May 15th-Tuesday*
Day 2 - May 16th-Wednesday*
Day 3-May 17th, Thursday*
Day 4-May 18th, Friday*
Day 5-May 19th, Saturday*
Ridings
Discount (Machine 1)
Discount to any vehicles carrying more than 2 passengers
Discount (Machine 2)
Discount to any vehicles carrying more than 2 passengers
Total
$0.00

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What is your annual income?*
What is your age bracket?*
What Brand Machine do you own? If you own more than one, pick your favorite.*
- Prefer not to answer
- Arctic Cat
- Can Am
- Honda
- Kawasaki
- Kymco
- Polaris
- Yamaha
Is this your first time attending Rally on the Rocks?*
- Yes
- No
How did you hear about Rally on the Rocks?*
What state/province/territory will you travel from to attend the Rally?*
Emergency Contact Info
Please list someone not at the Rally.
Name*
First Last
Phone*
Email
Waiver and Release of Liability
WAIVER AND RELEASE OF LIABILITY In consideration of the undersigned participant to be allowed entrance into the Discount Tire Rally on the Rocks event held May 15-19, 2018, the undersigned, on his/her own behalf and on behalf of his/her respective legal representatives, heirs, next of kin, etc. hereby acknowledges and agrees as follows: 1. Risk. I understand that participation in the Discount Tire Rally on the Rocks event involves many risks and dangers. Such risks and dangers include but are not limited to, serious bodily injury, permanent disability, death, and/or property damage which could result in severe social and economic losses and/or damages. 2. Waiver and Release. I hereby fully and forever discharge, release, waive, and covenant not to sue Rally on the Rocks, LLC and its respective agents, directors, trail guides, affiliates, employees, officers, trail sponsors, members, successors, and assigns, from any and all liability affecting or related to the undersigned’s participation in this event and I do so on my own behalf and as well as on behalf of my personal representatives, heirs, and next of kin for any and all claims, causes of action, demands, losses, or damages associated with any injury to the undersigned or my property, or death while traveling to or from, participating in, or otherwise pursuing any activity associated with or in any way related to, the Rally on the Rocks event. 3. Minor Children. If I am signing this document to allow a minor child to participate in the Discount Tire Rally on the Rocks event, I represent that I have full legal authority to do so and I acknowledge that I am assuming on behalf of my minor child all risk of personal injury, death, or disability that may result to him/her from participation in the event to the same extent as set forth in the preceding paragraphs. I indemnify the released parties from any and all bills, lawsuits, liabilities, claims, obligations, costs, damages, or expenses that may result from such minor’s participation in this event. 4. Insurance. I represent and warrant that I have adequate medical or other insurance to cover and pay for any possible injury that may occur to me and my minor children (if applicable). To the extent the insurance does not pay for all costs or damages, I also agree to pay for any and all costs and expenses of such injury or damage to myself or my minor child (if applicable). 5. Understanding. I have read this Waiver and Release of Liability, fully understand its terms, understand that I may have given up substantial rights by signing it, including the right to bring a lawsuit or claim against the released parties and have signed it freely and voluntarily on my own behalf and on behalf of any minor child named herein without any inducement, representation, assurance, or guarantee being made to me and intend by signature to the complete and unconditional release of all liability to the greatest extent allowed by law. 6. Electronic Signature. I hereby acknowledge (1) that this document is electronically signed in accordance with Utah Code Ann. 46-4-201 and (2) that this document is valid and may be enforced in the same manner as a hand-signed document that exists in physical form. I also expressly acknowledge the validity of the electronic signature appended to this document, which was made by me on the date this form was electronically submitted. I further agree that I have knowingly and explicitly waived any right to claim this document is invalid or is unenforceable based on (1) the fact that this document exists in electronic form or (2) the fact that this document is signed electronically. 7. Severability. If any party of this waiver is found to be void or unenforceable, the remaining portions thereof shall remain in full force and effect. DATED: 03/14/2018
Rules & Regulations*
- By checking this box I have read, understand, and agree to the Rules & Regutions for Rally on the Rocks
All Rules & Regulations can be found by selecting the info tab at the top of any page.
Signature 1*
Signature 2*
Signature 3*
Signature 4*
Signature 5*
Signature 6*
Signature 7*
Signature 8*
Total Ridings
Price: $0.00
Total Ridings
Discount Ridings
Price: $0.00
Discount to any vehicles carrying more than 2 passengers
Hats Total
T-shirt Total
Total Sweatshirt
Dinner Total
Total
$0.00
Credit Card*

American Express
Discover
MasterCard
Visa
Card Number Expiration Date Security Code Cardholder Name
All trail selections this year are final. There will be no trail changing at the event this year.
Phone
This field is for validation purposes and should be left unchanged.

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Comments
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Registration Form - 2018

Step 1 of 4

Adult 1 (Machine 1)

Adult 2 (Machine 1)

Adult 3 (Machine 1)

Adult 4 (Machine 1)

Number of Adults (Machine 2)

Adult 1 (Machine 2)

Adult 2 (Machine 2)

Adult 3 (Machine 2)

Adult 4 (Machine 2)

Emergency Contact Info

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