Tester – Hocking Hills Podcast

2023 Jeep Run Registration Form (Clone for Testing)

For testing purposes

Participant Information

For the best registration experience, we strongly recommend using a laptop or desktop computer rather than a mobile phone. We look forward to seeing you!

Name(Required)

First Last

Address(Required)

Street Address Address Line 2 City State ZIP Code

Email Address(Required)

Please be sure to enter your email address in BOTH fields. This is to confirm you entered the correct address and did not have any typos.

Enter Email Confirm Email

Phone Number(Required)

Emergency Contact Name(Required)

Emergency Contact Relation(Required)

Emergency Contact Phone Number(Required)

JEEP VEHICLE INFORMATION

Below you will enter information about your Jeep and the number of participants that will be joining you.

Year(Required)

Model(Required)

Color(Required)

License Plate #(Required)

Insurance Company(Required)

Modified? (Yes or No)(Required)

Yes

First Time or Annual Participant?(Required)

First Time

Annual

How Did You Hear About this Event?(Required)

NAMES & T-SHIRT SIZES

T-Shirt Size for Driver/Registrant(Required)

PASSENGER NAMES & T-SHIRT SIZES (ADULT)

The following fields are for any passengers age 13 and OLDER

Number of Passengers age 13 and OLDER(Required)

Please enter a number less than or equal to 5.

This is the number of PASSENGERS (not drivers) in your Jeep. Each additional passenger is $55.00 through September 15th (Early Registration). After Sept 15th, each additional passenger is $70.00. If you will have no passengers, in your Jeep enter 0.

Name of Passenger #1

T-Shirt Size for Passenger #1

Name of Passenger #2

T-Shirt Size for Passenger #2

Name of Passenger #3

T-Shirt Size for Passenger #3

Name of Passenger #4

T-Shirt Size for Passenger #4

Name of Passenger #5

T-Shirt Size for Passenger #5

PASSENGER NAMES & T-SHIRT SIZES (KIDS)

The following fields are for any passengers age 12 or YOUNGER

Number of Passengers age 12 and UNDER(Required)

Please enter a number less than or equal to 4.

This is the number of PASSENGERS in your Jeep who are age 12 or YOUNGER. Each additional passenger age 12 or younger is $20.00. If there will not be any passengers age 12 or under, enter 0.

Name of Passenger #1

T-Shirt Size for Passenger #1

Name of Passenger #2

T-Shirt Size for Passenger #2

Name of Passenger #3

T-Shirt Size for Passenger #3

Name of Passenger #4

T-Shirt Size for Passenger #4

Registration Package Includes:

Welcome bag with goodies, t-shirt, event information, and fall ride with fun-filled stops.

FRIDAY: Meet & Greet Gathering

Jeep lineup, Swap & Sell, Food trucks, Band, Park Golf Tournament, local restaurants & drinking holes.

Would you like to register for the Friday Meet & Greet?(Required)

Yes

SATURDAY: Park Golf Tournament

Note: $15 Entry Fee PER PERSON to participate in tournament! Friday @ 6:30pm. Sponsored by & located @ Campbell's Cove Campground on Lake Logan. TOP 3 Teams Win Prizes! All golf tournament participants will receive a complimentary dinner at the Landing Location Dinner Tent.

Would you like to register for the golf tournament?(Required)

Yes

Total Number of Golf Participants(Required)

Minimum 2 per team, maximum 4 per team.

Golf Participant #1 Name(Required)

Golf Participant #2 Name(Required)

Golf Participant #3 Name(Required)

Golf Participant #4 Name(Required)

Saturday: Dinner Tent at Landing Location

$10 per person. Broasted chicken, side, roll, dessert, beverage. Dinner INCLUDED if you registered for the golf event above.

Would you like to join us for the dinner tent at the landing location?(Required)

Yes

Total Number of People Going to the Dinner Tent?(Required)

Jeep Classes

For all classes, each person must be registered. Absolutely NO WALK-UPs. Each class will have light snacks and beverages included.

Hidden

Jeep History (FREE!)

Hey Jeepers! Want to discover more about the history of the Jeep? This informative class is informal, lots of fun facts, and sharing of stories. Sure to delight the curiosity of the knowledgeable and beginner alike. Taught by two Toledo Jeep UAW retirees. NOTE: 30 participants max per class.

Thursday, Sept 29th / 7:00pm-8:00pm

Friday, Sept 30th / 11:30am-12:30pm

Off-Road 101 ($40/person)

From Discover 4x4 Adventures in Southern Michigan. Learn about your Jeep vehicle: What are your vehicle's components? What role do they play while off-roading? What are your "fun buttons" and when do you use them? What is a sway bar and what does it mean to disconnect it? Airing down: Why and what pressure? 4high 4low: How to safely switch between the two. Which to use when and why. Driver positioning and safe driving techniques. Trail etiquette. Basic recovery: What are the essentials? Tow strap vs. kinetic rope. NOTE: 30 participants max per class. Participants bring own lawn chair to class. EACH PERSON MUST BE REGISTERED FOR CLASS -- NO WALK-UPs!

Quantity(Required)

How many people TOTAL will be attending the Off-Road 101 class (including you)?

Guided Vinton County Trail Ride ($30/Jeep)

From Discover 4x4 Adventures in Southern Michigan. NOTE: 30 participants max. EACH JEEP MUST BE REGISTERED FOR THE RIDE -- NO DRIVE-UPs!

Guided Trail Ride ($20/Jeep)

From Discover 4x4 Adventures in Southern Michigan. NOTE: 30 participants max. EACH JEEP MUST BE REGISTERED FOR THE RIDE -- NO DRIVE-UPs!

About Your Stay

Optional information so that we can understand who's coming and how we can best serve our registrants.

Day tripper?

Yes

# Night Stay

Reason for Participation

Are you bringing a dog?

Dogs must be kept on leash at all times!

Yes

Hotel Name

Campground Name

Cabin Name

Registration Cost

Price: $0.00

Total

Card Information(Required)

Your payment will allow us to register you for this event. All payments will be processed securely by Stripe, one of the United States' premier payment processors. NOTE: Please click the Submit button below ONLY ONCE to avoid being double charged.

Card Details

Cardholder Name