190 Airway Blvd. Livermore, California. 94551. USA.
Phone 925-606-8301/Fax 925-606-8302
Off-Road Registration Form
Name:______________________________________&________________________________________
Address:_____________________________________________________________________________
City:___________________________________________ State:_____________ Zip:________________
Phone (Home):_____________________________ (Work)____________________________________
Fax#:_______________________________________E-Mail:___________________________________
Vehicle; Year:________ Make:________________________________ Model:_____________________
Accessories:_________________________________________________________________________
Off-Road Driving Experience:____________________________________________________________
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____Yes, I’ve read the “Off-Road Experience” booklet. Date Requested
_____Level-1 Class $300.00 per car. Maximum 15-vehicles per class. Advanced Payment Required.
_____Level-2 Class $325.00 per car. Maximum 15-vehicles per class. Advanced Payment Required.
_____Level-3 Class $400.00 per car. Maximum 10-vehicles per class. Advanced Payment Required.
_____One-on-One Class $500.00 per car. 2-vehicles per class. Advanced Payment Required.
_____Excursion $_____ per car. Maximum 10-vehicles per trip. Advanced Payment Required.
_____Special Event $_____ per car. Maximum ______________ Advanced Payment Required.
Special Note: “ORE” reserves the right to change or cancel events without notice (see “ORE” booklet for details).
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PAYMENT
_____ Enclosed is my check/money order for $___________, Check#____________, Event Date: __________________
Credit Card#_______________________________________ Exp Date: __________. Event Date: __________________
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IMPORTANT MESSAGE
Agreement: By my signature below, I hereby agree to the terms and conditions set forth by The “Off-Road Experience”. I agree to abide by all “ORE” rules & regulations as listed in the “ORE” Booklet, “ORE” Competition Rule Book, additional “ORE” Event Material. I further agree to read & sign all Liability Release and Photo-Modeling Release, and abide by such. I am fully aware that “ORE” assumes NO Liability for myself, my family members and/or guests, passengers, nor my vehicle while participating (or traveling to & from) any “ORE” event. I also agree to the forfeiture of any and all payments made to “ORE” for failing to sign said Liability & Photo/Model Releases. “ORE” reserves the right to refuse anyone; No reason will be given.
Signature:____________________________________________ Dated:___________________________
Signature:____________________________________________ Dated:___________________________
Refund Policy: If you are unable to attend your chosen class/event, you must contact “ORE” no later than the Wednesday (Noon) prior to your scheduled class/event to obtain a full refund. “No Shows” will forfeit $150.00 and the remaining balance will be credited for same type class/event during the calendar year, after which time the funds will be forfeited. Failure to comply with “ORE” regulations, Instructors, or those that cause a safety problem or hazard for others, will be asked to leave, and NO refunds/credits will be forthcoming. Copyright “ORE” 2006