**High Mountain ATV Jamboree 2010** July 19th – 24th

Registration Form --- One Form for each Rider Please

 

Name: ____________________________________              Age: ________

 

Address______________________________________________________

 

City: _________________________ State: __________ Zip: _______

 

Telephone: (_____) ________________ E-Mail_________________________

 

Funds Attached: $__________________ T-shirt Size: _____________

Monday – Friday daily rides, 1 BBQ steak dinner ticket, 1 jamboree shirt, 1 rodeo shirt,

2 all you can eat breakfast tickets, the parade and pizza social and the Rodeo are all included in the Jamboree package.

 -------------------------------------------------------------- JAMBOREE FEE’S ---------------------------------------------------------------

Registration package: $125.00 per person

Families with 4 or more in same household $100.00 per person

High Mountain ATV Members $100.00 per person

The Madman Ride $25.00 per person

Optional Club Membership Fees

  (not required for jamboree participation)

  Individual:                $15.00

  Family:                      $20.00

  Business:                 $35.00

 

 Daily Rides only: 

1 ride $30.00 + a Jamboree shirt 

  2 rides $50.00 + 1 Jamboree shirt, 

3 rides $70.00 + 1 Jamboree shirt

-------------------------------------------------------------------------------------------------------------------------------------------------------- 

Release of Liability

I recognize that riding an ATV is a hazardous activity that can result in serious personal injury or death. I accept the risks inherent to riding in an ATV event including, but not limited to, obstacles on and off the course, rapidly changing weather, limited visibility, variation of steepness on and off the trails, surface or subsurface conditions on or off the trails, collisions with other ATV’s (including other riders), and collisions with devices used to mark the boundary of the trails or rodeo. In consideration for my participation in the ATV Jamboree 2010, I hereby release and agree to hold the High Mountain ATV Association, Inc., their officers, directors, employees and agents harmless from any and all claims. I have carefully read this agreement and release of liability and fully understand its contents. I am aware that this release of liability is a contract between myself and High Mountain ATV Association, Inc., and I sign it of my own free will.

 

Riders Signature: ________________________________ Date: _____________

If Rider is under the age of 18, a parent or guardian must also sign below.

 

Parent/Guardian: _________________________________ Date: ____________

 

YOU MUST SIGN AND DATE THIS RELEASE IN ORDER TO PARTICIPATE.

 HELMETS ARE REQUIRED.

Cancellation Policy: We will gladly refund your registration fee, minus the cost of the T-shirts and shipping fee, for any cancellation prior to July 1st 2010

 

High Mountain ATV Association, Inc. P.O. Box 805, Wallace ID 83873 (208)-512-2269