**High Mountain ATV Jamboree 2016 **
July 18th – 23rd
Registration Form — One Form for each Rider Please
Name: ____________________________________ Age: ________
City: _________________________ State: __________ Zip: _______
Telephone: (_____) ________________ E-Mail_________________________
Funds Attached: $__________________ T-shirt Size: _____________
Would you like Steak_________ or Chicken ________
Monday – Friday daily rides, 1 BBQ steak dinner ticket, 1 jamboree shirt, 1 rodeo shirt, 2 all you can eat breakfast tickets, obstacle course, parade, pizza social, potluck BBQ and the Rodeo are all included in the Jamboree package.
Registration: before June 1st $135.00 per person.
After June 1st $145.00 per person
Families with 4 or more in the same household: before June 1st $110.00 per person, after June 1st $120.00 per person.
High Mountain ATV Members $110.00 per person, after June 1st $120.00
Passenger riding double on a ATV or in a UTV $70.00, after June 1st $80.00
The Madman Ride is $25.00 per person (optional)
If you only want daily rides and not the whole Jamboree package it is:
1 ride is $30.00 + a Jamboree shirt, 2 rides is $50.00 + 1 Jamboree shirt, and
3 rides is $70.00 + 1 Jamboree shirt.
Release of Liability HELMETS ARE REQUIRED
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 2016, 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 on next page.
Parent/Guardian: _________________________________ Date: ____________
YOU MUST SIGN AND DATE THIS RELEASE IN ORDER TO PARTICIPATE.
Cancellation Policy: We will gladly refund your registration fee, minus the cost of the T-shirts and the shipping fee, for any cancellation prior to June1st 2016
High Mountain ATV Association, Inc. P.O. Box 805, Wallace ID 83873