Registration Form - 2017 Register online today to reserve your spot at this years CST Tires SxS Adventure Rally. Step 1 of 4 25% Name* First Last Address* Street Address City State / Province / Region ZIP / Postal Code CountryAfghanistanAlbaniaAlgeriaAmerican SamoaAndorraAngolaAntigua and BarbudaArgentinaArmeniaAustraliaAustriaAzerbaijanBahamasBahrainBangladeshBarbadosBelarusBelgiumBelizeBeninBermudaBhutanBoliviaBosnia and HerzegovinaBotswanaBrazilBruneiBulgariaBurkina FasoBurundiCambodiaCameroonCanadaCape VerdeCayman IslandsCentral African RepublicChadChileChinaColombiaComorosCongo, Democratic Republic of theCongo, Republic of theCosta RicaCôte d'IvoireCroatiaCubaCuraçaoCyprusCzech RepublicDenmarkDjiboutiDominicaDominican RepublicEast TimorEcuadorEgyptEl SalvadorEquatorial GuineaEritreaEstoniaEthiopiaFaroe IslandsFijiFinlandFranceFrench PolynesiaGabonGambiaGeorgiaGermanyGhanaGreeceGreenlandGrenadaGuamGuatemalaGuineaGuinea-BissauGuyanaHaitiHondurasHong KongHungaryIcelandIndiaIndonesiaIranIraqIrelandIsraelItalyJamaicaJapanJordanKazakhstanKenyaKiribatiNorth KoreaSouth KoreaKosovoKuwaitKyrgyzstanLaosLatviaLebanonLesothoLiberiaLibyaLiechtensteinLithuaniaLuxembourgMacedoniaMadagascarMalawiMalaysiaMaldivesMaliMaltaMarshall IslandsMauritaniaMauritiusMexicoMicronesiaMoldovaMonacoMongoliaMontenegroMoroccoMozambiqueMyanmarNamibiaNauruNepalNetherlandsNew ZealandNicaraguaNigerNigeriaNorthern Mariana IslandsNorwayOmanPakistanPalauPalestine, State ofPanamaPapua New GuineaParaguayPeruPhilippinesPolandPortugalPuerto RicoQatarRomaniaRussiaRwandaSaint Kitts and NevisSaint LuciaSaint Vincent and the GrenadinesSamoaSan MarinoSao Tome and PrincipeSaudi ArabiaSenegalSerbiaSeychellesSierra LeoneSingaporeSint MaartenSlovakiaSloveniaSolomon IslandsSomaliaSouth AfricaSpainSri LankaSudanSudan, SouthSurinameSwazilandSwedenSwitzerlandSyriaTaiwanTajikistanTanzaniaThailandTogoTongaTrinidad and TobagoTunisiaTurkeyTurkmenistanTuvaluUgandaUkraineUnited Arab EmiratesUnited KingdomUnited StatesUruguayUzbekistanVanuatuVatican CityVenezuelaVietnamVirgin Islands, BritishVirgin Islands, U.S.YemenZambiaZimbabwe Country Phone*Email* Number of Adults (9 years or older) in your party*1234$110 per adult including event t-shirt. Children 10 and under are free.Number of Machines*1234If 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.Adult 1Name* First Last Shirt Size (unisex sizing)*Please SelectSmallMediumLargeX-LargeXX-LargeXXX-LargeAdult 2Name* First Last Shirt Size (unisex sizing)*Please SelectSmallMediumLargeX-LargeXX-LargeXXX-LargeAdult 3Name* First Last Shirt Size (unisex sizing)*Please SelectSmallMediumLargeX-LargeXX-LargeXXX-LargeAdult 4Name* First Last Shirt Size (unisex sizing)*Please SelectSmallMediumLargeX-LargeXX-LargeXXX-LargeChildrenNumber of childern 10 years of age or younger*012345Please list the names and ages of each child.one name per line or separate each name with a comma. 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.Day 1 - Nov. 10th-Thursday*Not Riding This DayHoneymoon TrailTop of the World loopAll the way aroundUpper West RimMilts MileFault Line/Lower West RimDbl SammySliplock/Johns TrailPlan "B"The LedgesMazeDay 2 - Nov. 11th-Friday*Not Riding This DayHoneymoon TrailTop of the World loopAll the way aroundUpper West RimMilts MileFault Line/Lower West RimDbl SammySliplock/Johns TrailPlan "B"The LedgesMazeDay 3 - Nov. 12th-Saturday*Not Riding This DayHoneymoon TrailTop of the World LoopAll the way aroundUpper West RimMilts MileFault Line/Lower West RimDbl SammySliplock/Johns TrailPlan "B"The LedgesMaze What is your annual income?*Please SelectPrefer not to answer$25,000 to $50,000$50,000 to $75,000$75,000 to $100,000$100,000+What is your age bracket?*Please selectPrefer not to answer18-1920-2930-3940-4950-5960-6970+What Brand Machine do you own? If you own more than one, pick your favorite.*Prefer not to answerArctic CatCan AmHondaKawasakiKymcoPolarisYamahaIs this your first time riding in the Sand Hollow/Southern Utah area?*YesNoHow did you hear about SxS Adventure at Sand Hollow?*What state/province/territory will you travel from to attend the Rally?*Please Select One-- UNITED STATES --AlabamaAlaskaArizonaArkansasCaliforniaColoradoConnecticutDelawareDistrict of ColumbiaFloridaGeorgiaHawaiiIdahoIllinoisIndianaIowaKansasKentuckyLouisianaMaineMarylandMassachusettsMichiganMinnesotaMississippiMissouriMontanaNebraskaNevadaNew HampshireNew JerseyNew MexicoNew YorkNorth CarolinaNorth DakotaOhioOklahomaOregonPennsylvaniaRhode IslandSouth CarolinaSouth DakotaTennesseeTexasUtahVermontVirginiaWashingtonWest VirginiaWisconsinWyomingArmed Forces AmericasArmed Forces EuropeArmed Forces Pacific-- CANADA --AlbertaBritish ColumbiaManitobaNew BrunswickNewfoundland & LabradorNorthwest TerritoriesNova ScotiaNunavutOntarioPrince Edward IslandQuebecSaskatchewanYukonEmergency Contact InfoPlease list someone not at the Rally.Name* First Last Phone*Email Waiver and Release of LiabilityWAIVER AND RELEASE OF LIABILITYIn consideration of the undersigned participant to be allowed entrance into the SXS Adventure Rally event held November 2016, 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 SXS Adventure Rally 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 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: 06/24/2017Rules & Regulations* By checking this box I have read, understand, and agree to the Rules & Regutions for SXS Adventure Rally 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*Adult RegistrationTotal $0.00 Credit Card American ExpressDiscoverMasterCardVisa Card Number Month010203040506070809101112 Year20172018201920202021202220232024202520262027202820292030203120322033203420352036 Expiration Date Security Code Cardholder Name Date EmailThis field is for validation purposes and should be left unchanged.