RFTW Registration

Name*

First Last

FNG*

If this is your first time on The Run select "Yes" otherwise select "No"

Yes
No

Route You Will Take for The Run*

Central (CR)
Midway (MR)
Southern (SR)

Sign-in*

Where you will begin The Run

Ride-to*

How far you will go on The Run

Email*

Enter Email Confirm Email

Address*

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

Cell Phone

Home Phone

Road Name

Birth Date*

Veteran*

Yes
No

Relationship

If you're a family member of a Veteran, please list your relationship

Status*

If you ride a Motorcycle, Trike, or Spyder, select Motorcycle Rider OR Motorcycle Passenger as appropriate......................... Riders possessing Polaris Slingshot, T-Rex, Stallion and other 3-wheeled vehicles with side-by-side seating &/or steering wheel in lieu of handle bars should select "Other 3-Wheel Driver/Passenger" and enter make and model below.

Motorcycle Type

Training

Have you had any motorcycle training in the past 3 years?

No
Basic
Advanced

Vehicle Make*

Vehicle Model*

Driver's License #

Driver's License Expires

Motorcycle Endorsement

Yes
No

Motorcycle Endorsement State

Vehicle Liability Insurance Policy #

Insurance Expires

Insurance Company

Vehicle License Plate #*

Vehicle Registration Expires*

Emergency Contact (Not Attending)*

Emergency Relationship

Emergency Phone #*

Alternate Emergency Phone #

Sign me up for RFTW updates!

Payment Choice*

Pay Now - $30
Pay at RFTW
Active Duty / FREE with ID

Name

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

RFTW Registration Form – 2018