Participant Application Form

PLEASE SELECT ONE OF THE FOLLOWING*

Mongolia - September 8-20, 2025 - $11,000 (7 spots remaining)Laos - October 27 - November 7, 2025 - $12,000 (6 spots remaining)Peru - May 11-23, 2026 - $12,000

We again anticipate greater interest in the rallies than we can accommodate. Your answers to the following are important and help us select the best riders to match our mission and the required skill set.

NAME (as it appears on your passport)*

First NameLast Name

ADDRESS*

Street Address

Street Address Line 2

CityState / Province

Postal / Zip Code

BIRTHDATE

PHONE NUMBER*

Area CodePhone Number

EMAIL*

example@example.com

DO YOU HAVE A VALID PASSPORT?*

YesNo

WHY WOULD YOU LIKE TO PARTICIPATE IN RALLY FOR RANGERS?*

DO YOU HAVE A MOTORCYCLE DRIVER'S LICENSE?*

YesNo

PLEASE DESCRIBE YOUR RIDING EXPERIENCE IN DETAIL*

(i.e. years, terrain, bikes ridden, trip length, mileage, etc)

DO YOU HAVE A VIDEO THAT DEMONSTRATE YOUR RIDING EXPERIENCE? IF SO, PLEASE PROVIDE US WITH LINKS TO THE VIDEO.

DESCRIBE YOUR INTERNATIONAL TRAVEL*

DESCRIBE YOUR FOOD ALLERGIES OR DIETARY NEEDS*

ARE YOU A MEDICAL DOCTOR OR DO YOU HAVE WILDERNESS FIRST RESPONDER OR WILDERNESS EMT CERTIFICATION?

YesNo

PLEASE PROVIDE US WITH LINKS TO YOUR SOCIAL MEDIA

HOW DID YOU FIND OUT ABOUT THE RALLY?

EMERGENCY CONTACT*

First NameLast Name

Phone*

Area CodePhone Number

Email*

example@example.com

Relationship*

By clicking I agree, you confirm that you have read the terms & conditions and liability policy, that you understand them and that you agree to be bound by them.*