Butt Lite X Registration Step 2 Your Name (required) Your Email (required) (we will use this for official communications) Address (required) City (required) State/Country Zip/Postcode Home Phone Mobile Phone (that we can reach you at during the rally) (required) I am riding: SoloTwo-up Passenger Name Experience - Check all that apply Butt LiteMinnesota 1000Iron Butt RallyOther multiday rallyMultiday certificate rideIBA cert ride (SS1K, BBG etc)ButtLite volunteerMN1K or TS volunteerOther Select which Butt Lite(s) you rode in: BLIXBLVIIIBL7BL6IXBLIIIIIBLIIIIBL3BL2BL1 In which years did you ride the Minnesota 1000? In which years did you ride the Iron Butt Rally? What multi-day rallies have you done? What multi-day certificate rides have you done? What IBA cert rides (SS1K, BBG etc) have you done? Select which Butt Lite(s) you volunteered on: BLIXBLVIIIBL7BL6IXBLIIIIIBLIIIIBL3BL2BL1 In which years did you volunteer on the Minnesota 1000 or other TeamStrange events? Please provide any other details about your riding experience Anything else you want to tell us? Name of Emergency contact Relationship Emergency contact phone Motorcycle (it's OK if this changes between now and the rally) TERMS AND CONDITIONS TO PARTICIPATE IN THIS EVENT, YOU MUST ACCEPT THESE TERMS AND SHOW YOUR ACCEPTANCE BY CHECKING THE BOX AT THE END. IF YOU DO NOT AGREE TO THESE TERMS, YOU MAY NOT PARTICIPATE IN THIS EVENT. THIS IS A RELEASE AND BY AGREEING YOU KNOWINGLY AND VOLUNTARILY GIVE UP SIGNIFICANT RIGHTS. I understand that the Butt Lite X is a motorcycle riding rally. I further understand that motorcycling is an inherently dangerous activity which should only be undertaken by competent, experienced individuals, and I represent that I possess such skills. I further acknowledge that, during the course of Butt Lite X, I may choose to subject myself to hazards above and beyond those faced by ordinary motorcyclists. I understand that TeamStrange has not inspected or approved, and is not responsible for, any conditions on any roads I may ride, or for the actions of other individuals using these roads. I also understand that TeamStrange has not inspected or approved, is not responsible for, and does not warrant, the fitness of my motorcycle or equipment for safe use or operation. I accept full and complete responsibility for my own safety during the rally. I acknowledge that motorcycling under adverse road, light, weather, rider, and traffic conditions is inherently dangerous, and could result in injury or death. I hereby accept and assume these risks, which I may incur, or which I may cause to another, as a condition of and in consideration for participation in Butt Lite X, and hereby waive any and all claims I have or may have against Butt Lite X, its organizers, sponsors, volunteers, agents and participants as a result of my participation in Butt Lite X, arising out of their negligence or otherwise. I further agree to defend, indemnify and hold harmless the rally, its organizers, sponsors, volunteers, agents and participants from all claims asserted against them by third parties arising out of my conduct during the rally or arising out of their negligence or otherwise. I understand and agree that by executing this release, I have given up substantial rights, and do so freely, knowingly and voluntarily, and by doing so intend this release to be a complete and unconditional release of all liability to the greatest extent allowed by law. I agree that I will obey all traffic rules and regulations during my participation in Butt Lite X. I understand that my entry fee is non-refundable. I agree to follow and be bound by all rally policies and rules, including any AMA sanctioning policies, the Team Strange Uniform Rules, and any rules that may be communicated to me before or during the rally by the rallymasters, all of which are incorporated herein by reference. This release is not meant to replace or void any other releases executed by releasor prior to or hereafter and is to be construed as providing additional protection to releasees and all other releases shall remain in full force and effect. I have read this agreement, fully 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 releasee to the greatest extent allowed by law. I agree to follow and be bound by all rally rules, including the Team Strange Uniform Rules, the Butt Lite X Supplemental Rules, and any rules and instructions that may be communicated to me before or during the rally by the rallymasters. I have read the Butt Lite X Terms and Conditions and agree To complete your application you must submit a $100 deposit via PayPal. The deposit will be returned to you if you are not selected for the rally. If you are selected for the rally, the deposit will be applied against your entry fee. The entry fee, and any deposit applied against it, is non-refundable. Hit "Submit application and pay via PayPal" to complete your application. You will be transferred to a secure PayPal page to complete your payment. You will receive a confirmation email that your application has been received and a separate email confirming your PayPal payment. Important - if your PayPal account is under another name or email address, leave us a note in the comment box above providing the details so we can connect your payment to your application.