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Driven with passion.
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REGISTRATION


PLEASE ANSWER THE QUESTIONS BELOW

Required fields are shown in red


Qualification

Are all driver(s) and passenger(s) (optional) at least 25 years old?
Yes No

Do all driver(s) and passenger(s) (optional) agree to bring a valid driver's license and proof of automobile liability insurance coverage to the event?
Yes No

Do all driver(s) and passenger(s) agree to sign waivers agreeing not to sue the event organizers, event volunteers, Club Sponsors, Corporate Sponsors, and Special Sponsors for any damage to their person or property resulting from their participation in this event?
Yes No

Do all driver(s) of the participating vehicle agree to bring a completed technical inspection form to the event?
Yes No

Does driver agree to bring at least one functioning Motorola-compatible radio to the event?
Yes No

Do all driver(s) and passenger(s) (optional) agree that failure to meet all of the qualification requirements listed here will disqualify them from attending the event?
Yes No

Have all driver(s) and passenger(s) (optional) read and agree to follow the requirements shown on the Warning page?
Yes No

Have all driver(s) and passenger(s) (optional) read and agree to follow the requirements in the Participant Guide?
Yes No

All eight questions above have to be answered as 'Yes' for the registration to be processed.


Personal Information

Driver's Name
 What city are you coming from?
 
Driver's alias OR
forum user name (1)
 Attend H2R track visit?
Enter 'Yes' or 'No'
 
Navigator's Name (2)
 Year of Vehicle to Join Stampede
 
Name of Other passengers
(if any)
Make / Model of Vehicle to Join Stampede
e.g. BMW M3
 
Email address (3)
 Color of Vehicle to Join Stampede
 
Phone - Cell Preferred (4)
 Name of your car club
 
Name of Emergency Contact #1
(who is not a passenger)
 Name of Emergency Contact #2
(who is not a passenger)
 
Phone # of Emergency Contact #1
 Phone # of Emergency Contact #2


1 This entry will be used as your name in the Registered Participants list. Your real name will not be disclosed to protect your identity. However, if you don't mind your real name being listed then enter your real name in this field. Only your first name will be listed if this field is left blank.
2 Having a navigator is HIGHLY RECOMMENDED but not required.
3 This is necessary to confirm receipt of your registration information. It will be used only for purposes of this event. Please see our Privacy Policy.
4 It is HIGHLY RECOMMENDED that you provide a cell phone number in order to contact you if necessary before or during the event.




Image used within Raging Bull Texas Stampede logo belongs to Jeff Bucchino.
The rest of his artwork can be viewed at www.wizardofdraws.com.
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