2021 Rebelle Rally Waitlist Form

Thank you for registering for the 2021 Rebelle Rally Waitlist!

The 2021 rally is currently sold out. However, it is common due to unforseen circumstances for registered teams to withdraw prior to the rally. The waitlist is designed to be efficient and effective for interested teams who wish to pursue the 2021 rally.

A team is comprised of two team members. A person can register for the Rebelle Rally waitlist without a teammate. However, the person is accepting the responsibility of the team waitlist registration payment and terms outlined in this document and on the waitlist registration waiver.

A waitlist place will be held once the waitlist registration form has been submitted and payment has been made. Waitlist registration is on a first come, first serve basis.

For details on official registration for the 2021 Rebelle Rally, please visit our website, or contact us at info@rebellerally.com for questions.

OE Vehicle Manufacturer, Corporate Program & Electrified Entries:

For OE Vehicle Manufacturer and Corporate programs wanting to register, please contact info@rebellerally.com or +1.775.345.3450.

Due to the operations, logistics and powering expense, Electrified Designation entries are limited to vehicle manufacturer entries and in number of available spots. Please contact us for details and application information.

WAITLIST PRICE: $250 +non-refundable processing fee

Waitlist registration includes:

1. Official waitlist number and place holding

2. Official Rebelle postcards, personalized note, and decals

3. Limited priority registration for Rebelle Rally 2022

WAITLIST TERMS AND CONDITIONS: What to expect after waitlist registration

Availability:

Once a Team registration spot becomes available:

- The first Team on the waitlist will be notified of the available spot and provided a link to the official 2021 Rebelle Rally registration form.

- The Team will have 72 hours from the time it is notified of the available registration spot to apply by completing the following requirements: 1) submitting a completed registration form for each teammate, and 2) either the full registration payment or a minimum payment of installment #1.

- Upon successful registration, the Team's place will be officially reserved for Rebelle Rally 2021, and the Team's $250 waitlist payment will be applied as payment towards the Team's total registration cost.

- If the Team fails to successfully register within 72 hours from the time the Team is notified of the available registration spot, then the Team will be placed at the bottom of the waitlist.

Registration Closes:

If a registration spot does not open and the Team is still waitlisted when registration closes, the Team will have two options available to proceed:

1. The Team's waitlist payment of $250 will be applied toward the Team's registration fee for Rebelle Rally 2022, and the Team will be given priority access to Rebelle Rally 2022 registration one week prior to the opening of registration; or

2. The Team's waitlist payment of $250 will be refunded to the person or persons that made the payment.

Cancellation Policy:

A waitlist registered team can withdraw from their waitlist position at any time and be refunded the waitlist payment of $250.

For questions regarding waitlist registration payment or terms, please contact Andrea Bullard @ (760) 613.9290 or info@rebellerally.com. Waitlist registration is not official until documents are complete, payment is processed, and an email confirmation is returned to the team.

Teammate #1 Full Name *

First Name Last Name

I am registering for the waitlist without a teammate.

Yes

Have you previously competed in the Rebelle Rally? If yes, please list years (2016, 2017, 2018, 2019, 2020)

How did you hear about the Rebelle Rally?

E-mail *

Phone Number *

Area Code Phone Number

Alt. Phone Number

Area Code Phone Number

Address *

Street Address

Street Address Line 2

City State / Province

Postal / Zip Code Country

Date of Birth *

Month Day Year

Emergency Contact

First Name Last Name

Emergency Contact Phone

Area Code Phone Number

T-shirt size (sizes run small)

XS S M L XL 2XL 3XL

Teammate #2 name (If available)

First Name Last Name

Teammate #2 E-mail

Teammate #2 Phone Number

Area Code Phone Number

Signature *

Use curser to sign. Clear

Date *

Month Day Year

Expected Vehicle Class

4x4 X-Cross

Vehicle make/model (if available)

Off-road Driving Level

Beginner Intermediate Expert/Pro

Navigation Level

Beginner Intermediate Expert/Pro

How will you be paying? *

Bank Transfer (1% processing fee) Credit Card (3% processing fee)

Who is responsible for payment? Please provide name, phone number, and email address. To invoice multiple parties, please contact us directly at info@rebellerally.com.

You will receive an invoice and secured payment link after you submit this registration document. Thank you!

2021 Rebelle Rally Waitlist Form

Pricing and Payment