River Shiver 2012 Registration


REGISTRATION NOW FULL!

Please fill in the form below to submit your STANDBY registration for the 2012 River Shiver event. You will be notified if a spot becomes available.

* indicates a required field

Personal Information
Name: *
Address: *
 
City: *
State/Province: *
Zip/Postal: *
Phone: *
E-mail: *
TLCA Membership #:
Any special diet concerns
(e.g. food allergies, vegetarian, etc):
Any Medical Conditions
we should be aware of:
Emergency Contact
information: *
  Check here if you'd like to help with the event
Vehicle Information
Year of Vehicle: *
Type of Vehicle: *
License Plate: *
Tire Size:
Winch?: Yes   No
Skill Level: *
# of Passengers: *
Payment Information
  • Early Bird registration = $225.00 CAD for vehicle and first person and is due by November 30th, 2011.
  • Regular registration = $275.00 CAD for vehicle and first person and the final registration deadline is December 31st, 2011.
  • A registration includes one grab-bag of event goodies.
  • Each Additional passenger in a vehicle will cost $125.
  • Refunds: If you get accepted but cannot make it, no problem. Please note that there is a $5.00 refund fee. Refunds will be mailed after event date. No refunds granted if requested after December 31st, 2011.
Please select a Payment Option: *



Registration now closed. Be back in 2014!

REGISTRATION NOW FULL!

 

 

 

Toyota Land Cruiser Association