Form – Register Passenger Big Bend Charity Rally – Squadra Foundation

Name *

First

Last

Address *

Address Line 1

Address Line 2

City

State

Zip Code

Email * *

Phone

Driver Name * *

List name of the Driver for the car in which you will be a passenger.

T-Shirt *

T-Shirt sizes are gender specific. If you select medium and you are a male passenger, you will receive medium men's shirt. If you select medium and you are a female passenger, you will receive medium women's shirt. Note, in order to receive your free t-shirt, driver must have paid the event fee, which covers one vehicle and two passengers. Additional passengers may purchase t-shirts at the event.

Lunch (Day Two Only) *

Yes, I want a packed lunch
No, I do not want a packed lunch

A packed lunch for our hike in Big Bend is included in the event fee paid by the driver. All other meals are at the participant's expense. Packed lunch includes a (1) wrap, your choice of fruit, (1) bag of chips, (1) cookie and (1) bottled water. If you do not want a packed lunch, you may eat at the Chisos Mountain Lodge restaurant at your own expense.

Donation

All donations are optional and encouraged so that we can further support our cause.

Total

$0.00

Credit Card

Card Number

Security Code

Name on Card

Expiration/

Signature *

Checkboxes *

I have read and agree to the disclaimer below.

DISCLAIMER: By clicking submit: (i) I agree to the “Liability Waiver Form”; (ii) I consent to the Squadra Foundation collecting my details through this form; and (iii) I understand that if I am making a donation, I am making such donation to the Squadra Foundation while the Squadra Foundation is in the process of applying for 501(c)(3) status with the IRS. As such, any donations made prior to approval, will be retroactively tax deductible upon approval by the IRS; and (iv) I understand there are no refunds of any donations, if made.

Form – Register Passenger Big Bend Charity Rally

BIG BEND CHARITY RALLY

FEBRUARY 28TH – MARCH 1ST, 2020

PASSENGER REGISTRATION FORM

All passengers are required to complete the form below. By signing below and submitting this form, you agree and understand the terms and conditions of the “Liability Waiver Form“.

DOWNLOAD LIABILITY WAIVER FORM