Whiskey Off-Road Housing Request Form

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Please note: Accommodations are provided on a first-come, first-served basis and depend on availability of lodging. Filling out this form does not automatically register you for housing.

"*" indicates required fields

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This field is for validation purposes and should be left unchanged.

Name*

First Last

Team Name*

Address*

Street Address Address Line 2 City State / Province / Region ZIP / Postal Code Country

Phone*

Email*

# of Riders traveling with Team*

# of Male Riders*

# of Female Riders*

Will you share a room with the opposite gender from your team?*

Dates Needed*

Number of Beds Needed*

Additional Information

Completion of this form does hereby release and forever discharge and hold harmless Epic Rides, its successors, and assigns from any and all liability, claims, and demands of whatever kind or nature, either in law or in equity, which arise or may hereafter arise from event housing and accommodations. Furthermore, this release discharges Epic Rides from any liability or claim against Epic Rides with respect to any bodily injury, personal injury, illness, death, or property damage that may result from event housing and accommodations, whether caused by the negligence of Epic Rides or its officers, directors, employees, or agents or otherwise. Epic Rides does not assume any responsibility for or obligation to provide financial assistance or other assistance, including but not limited to medical, health, or disability insurance in the event of injury or illness.

Whiskey Off-Road Housing Request Form

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