Jeep Food Ride RegistrationWelcome to the registration for the Jeep Food Ride. Our event has grown to the size that registration is required. It's easy and will really help us ensure you have the best time possible while helping the hungry! Due to COVID-19, we will not be having the daytime trail ride. We hope to have the Trail Ride return in 2021! The hungry still need our help now more than ever. Make the drive over and join us for the lighted parade and food donation. Rotary Lights and Pischke Motors are happy to support our efforts. Can't make it on the 19th? Visit our donation page and make a monetary donation and we'll shop for you! Help us reach our goal of 2500 food items for 2020. Please note you'll need to register each Jeep you are bringing separately if you have more than one Jeep in your group! This is the only way we can plan for trails and guides. There is no monetary admission but monetary donations are welcome. We do require at least two (2) full grocery bags of non-perishable food per adult on your Jeep. Thank you for helping us help the hungry! We'll see you on December 19th, 2020! Space is limited to 45 Jeeps! Please do not complete this registration unless you are sure you are able to attend! Ride ChoiceI will attend...*Check all that apply Select All 5:00 p.m. Parade Will you join us after the parade at for food & beverages?*Due to COVID-19, we may not be able to have a meal after the ride. We are currently working with a couple of local venues to see if we can provide a cost-effective meal that is safe and socially distanced. Select...NoYesNot SureJeep DetailsJeep Model*Please choose your model or the nearest model. Select...Wrangler (CJ, YJ, TJ, LJ, JK, JL)Gladiator / JT Jeep TruckCherokeeGrand CherokeeRenegadeCompassPatriotLibertyCommanderCustom / Blended (Brute, etc.)Number of Doors*Two DoorFour DoorJeep Year*Driver Details• All drivers must have a valid Driver's License. • All Jeeps must be registered, insured and street legal in the state of registration. • By submitting this form you certify that the driver and Jeep meet these requirements. Name of Driver* First Last Age of Driver*Driver's Email* Enter Email Confirm Email Cell Phone*Address* Street Address City AlabamaAlaskaArizonaArkansasCaliforniaColoradoConnecticutDelawareDistrict of ColumbiaFloridaGeorgiaHawaiiIdahoIllinoisIndianaIowaKansasKentuckyLouisianaMaineMarylandMassachusettsMichiganMinnesotaMississippiMissouriMontanaNebraskaNevadaNew HampshireNew JerseyNew MexicoNew YorkNorth CarolinaNorth DakotaOhioOklahomaOregonPennsylvaniaRhode IslandSouth CarolinaSouth DakotaTennesseeTexasUtahVermontVirginiaWashingtonWest VirginiaWisconsinWyomingArmed Forces AmericasArmed Forces EuropeArmed Forces Pacific State ZIP Code How Many Passengers Will You Have?*Select...012345Optional DonationWe only require that you bring a minimum of two (2) full bags of non-perishable food per adult in your Jeep to participate in these events. If you wish to make an additional monetary donation, we will add your donation to our bulk shopping the Thursday before the ride. Would you like to help the hungry with a monetary donation?*NoYesEnter Your Donation Amount Total $0.00 Secure Credit Card via Stripe* Card Details Cardholder Name Release of Liability*In consideration of being permitted to participate in any part of this event, I HEREBY RELEASE all personal, trail guides, land owners, support staff, supporting organizations, parent corporations, subsidiaries, officers, directors, promoters, sponsors, employees, and agents ("releases") of all liability to me, whether caused by the negligent act or omission of releases or otherwise while I am for any purpose participating in such event. I fully understand that there is some inherent risk associated with this event, including damage to vehicles. IN ADDITION, I AGREE TO INDEMNIFY AND HOLD HARMLESS the releases from any loss, liability, damage, or cost they incur due to such participation by me and any passengers (including minors) whether caused by releases' negligence or otherwise, and AGREE TO ASSUME FULL RESPONSIBILITY AND RISK for any bodily injury, death, or property damage from releases' negligence or otherwise while participating at this event. I UNDERSTAND that I will be required to sign a waiver in order to participate in this event. I agree PhoneThis field is for validation purposes and should be left unchanged.