2008 Annual outlaw trail ride registration application

 

Please complete the required information for each rider, with one rider only on each registration form.  Make copies of the form as needed.  Riders under 18 years of age must be accompanied by a parent or legal guardian rider responsible for them.  The total registration fee MUST be paid in full at the time of registration.  The first 100 applications will be accepted on a first come first serve basis.

 

Name:_______________________________________ Badge:________________________ Age:______

               (Last)                        (First)                   (MI)                         (Name to be printed on Badge)

 

Mailing Address:_______________________________________________________________________

(Street)                                                (City)                      (State)              (Zip)

 

Telephone:____________________________________________________________________________

(Day)                                       (Evening)                                 (email)

 

Riders under 18 years of age, give name of legal guardian accompanying them:__________________________

 

Would you like your name and address included on the participants’ list given to every rider?  Yes  _____    No  _____

 

Occupation:_________________________ Dietary Restrictions:________________________________

 

Are you a member of a group of riders?  Yes   _____     No   _____

If yes, please list the member names to assure the members are in your group to be assigned:_____

_____________________________________________________________________________________

 

Where did you hear about this ride?_______________________________________________________

 

COST:

Trail Ride cost per person.……………………………………………………….$1250.00

Early bird special if signing up prior to January 31, 2008 per person......…$1100.00

 

We accept Visa or Mastercard:

 

Credit Card #:______________________________                        Expiration Date:__________________

 

I agree with the terms stated above and understand that there is a non-refundable fee of $300.00 I will lose from the total fee if I am unable to make the ride and notify the Outlaw Trail, Inc. on or prior to July 15^th, 2008.  Otherwise I understand that I will forfeit the entire cost of the ride if I am unable to attend the ride and do not notify the Outlaw Trail Ride until after July 15^th, 2008.  (Special circumstances will be considered with appropriate documentation as necessary.)

 

Signature:__________________________________________           Date:_________________

 

*Outlaw Trail, Inc. reserves the right to alter activities due to unforeseen circumstances.*