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Mother Road Ride Rally

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                       The Mother Road Ride RallySM                                       June 7-19, 2022

                 Living the dream the thing to do the ride in Twenty Two
 
          YOU MAY REGISTER ANYTIME 
       REGISTRATION CLOSES APRIL 20 
                                        
                                         ITINERARY'S WILL BE SENT OUT JANUARY 1ST
 
Each person who registers gets: MOTHER ROAD RIDE RALLY RIDE PIN---MRRR JACKET PATCH--MANY RT 66 MUSEUMS---RIDE THRU PAINTED DESERT & PETRIFIED FOREST---SPECIAL GROUP PICTURES-- RIDE DVD WITH PICTURES LETS YOU RELIVE THE RIDE---RIDE ITINERARY---FREE AWARDS DINNER AT END OF RIDE-- full set of Route 66 maps (if ordered), and other Route 66 'goodies.' Note: We must have a SIGNED Disclaimer in our files to send you all the registration materials. Scroll to end to find Disclaimer form. Print it, sign and then mail to us. The ride is one way-westbound. You can easily travel at your own pace. You are not hostage to a ride leader, but there will be a Rallymaster to lead you across RT 66. Click here for more detailed information and answers to frequently asked questions about this event.

Those that would like to PAY BY CHECK print out these pages with release form sign and mail with a CHECK.
     Registration $209.00 WITH MAPS    Passenger Fee $35.00     $199.00 Without Maps
                         
                     Make check payable to George Higgins or RIDE RT 66 LLC. Thank You.  
 If you would like a BROCHURE send me your postal mailing address to george@rideRT66.com  THANK YOU.  Cool

Policies: Hitchhiking NOT allowed. Passengers are by invitation of riders only.

This is a "closed event." All bikes or Car's must be properly registered to ride in the Rally.

Privacy Policy: All information gathered for the event is kept within the group by Ride Rt 66, LLC and is not shared with any other company.

Note: A pre-departure dinner is held the night before the Rally. Details will be in the Rally Packet.

Should you have a change in plans, you can always get a full refund. There isn't a 'cut off' date for a refund, just return your registration materials to us for a prompt, no hassle refund. An option is to roll-over your registration to next year’s rally. A roll-over is allowed once, and if not used that next year, no refund is given. There is no on-site, day of departure registration.
                                         Your registration must be in our office by APRIL 20

WHERE did you hear about the Mother Road Ride Rally
what magazine___________Brouchure________ Are you a repeat Offender_______
What Web Site_____________Friend___________Other__________

Please PRINT THIS PAGE and THE RELEASE AND INDEMNITY FORM AT THE BOTTOM fill out the following information then MAIL.                        The *indicates required information.

First Name*_______________________ Last Name*____________________________

Address*_______________________________________________________________

City*_________________________ State*______________ Postal Code*_____________

Country*________________________________________

Daytime Phone___________________________________

Night Phone______________________________________

Your E-Mail Address________________________________

ADD YOUR START CITY FROM LIST BELOW______________________________________________ 
                       
Willowbrook IL----Springfield, IL----St. Louis, MO---Springfield, MO--Miami, OK---Oklahoma City, OK--
Santa Rosa, NM---Gallup, NM---Flagstaff AZ---Kingman, AZ-- OTHER_____________________________

ADD YOUR STOP CITY FROM LIST BELOW_______________________________________________ 
                      
Santa Monica, CA----Needles CA----Kingman AZ---Flagstaff AZ---Gallup, NM---Santa Rosa, NM
Oklahoma City, OK---Miami, OK--- Springfield MO----St Louis, MO---Springfield, ILL.--OTHER________________

Car or Motorcycle Brand/Model_________________________________________________________

Check here   ⃝   If you’re a Repeat Offender.
Check here   ⃝   If this is your 5th or more Mother Road Ride Rally
Check here   ⃝   If this is your 10th or more Mother Road Ride Rally
Check here   ⃝   If this is your 15th or more Mother Road Ride Rally
Check here   ⃝   If this is your 20th or more Mother Road Ride Rally

Emergency Contact NAME & PHONE Number_____________________________________________________
        
Anything else you would like us to know!_______________________________________________________________
___________________________________________________________________________________________________
   __________________________________________________________________________________________________


BE SURE TO FILL out the above form AND to read and sign the Disclaimer and Release at the
bottom of this page. We need to have these TWO forms in our file before we can send you all your registration materials.                                       
                                                         Mail these forms to us.

Phone: Cell 352-684-5293 | E-Mail: rally@rideRT66.com
                               
                            PLEASE SIGN AND RETURN TO
           George Higgins Ride RT 66 LLC 12415 Linden Drive spring Hill Florida 34608 

                               
                RELEASE AND INDEMNITY AGREEMENT PLEASE READ IT BEFORE SIGNING BELOW

I hereby give up all my rights to sue or make any claim whatsoever against the officers, employers or agents of Ride RT 66, LLC of Spring Hill Florida, sponsors and all other persons, participants or organizations conducting or connected with the event* for any injury to property or person I may suffer, including but not limited to crippling injury or death, whether such injury arises while I an preparing for or participating in the event or while I am upon the event premises.
        I know the Risks of danger to myself and my property while participating in the event and while upon the event premises and relying upon my own judgment and ability, assume all such risks of loss and hereby agree to reimburse all costs to those persons or organizations connected with this event for damages incurred as a result of my negligence.
  My Car or motorcycle meets all noise, insurance and registration requirements for the State in which it is licensed.

Operator Signature__________________________________________________________________________________ 

Print Name____________________________________________________________________Date____________

Passenger Signature______________________________________________________________________________

Print name_____________________________________________________________________Date_____________

Relationship to rider (Spouse,Relative, Friend)______________________________________. 

*The Annual Mother Road Rally

 

 

 

BE SURE TO FILL out the above forms AND to read and sign the Disclaimer and Release form. We need to have these TWO FORMS in our file before we can send you all your registration materials. Mail these forms to us.                          There is a print button at top of this page. Thank you.

Registration $199.00 WITHOUT MAPS CLICK BUY NOW BUTTON BELOW. 

Registration $209.00 WITH MAPS CLICK THE BUY NOW BUTTON BELOW.
>Passenger Fee $35.00 CLICK THE BUY NOW BUTTON BELOW.


AN ADDITIONAL RIDE PIN FOR A PASSENGER ON A REGISTERED BIKE IS $6.95. CLICK BUY NOW BUTTON BELOW.


IF YOU WANT A PASSENGER REPEAT OFFENDER PIN $6.95 CLICK BUY NOW BUTTON BELOW.
                                                                       
                                                                     © 2011-2022 Ride RT 66 LLC