2011 FALL CRAWL SIGN UP SHEET

Event Date: September 10-11

Deadline to Register is August 23rd.

Name:Club:

Address City/State

Phone:Email:

Vehicle Type and Specs:

Trail Request Saturday, September 10th: First Choice Second Choice

Electric Site for camping: Y N

*Please remember electric sites are limited and are first-come-first-serve.

How many T-Shirts and what size(s)?

One shirt is included with each person in your registration. Additional shirts can be purchased for non-attendees at $12 each.

Additional shirts/size? ($12)

How many Adults ($52p/person):How many Children ($26 p/child ages 6-12):

How many for the Sunday morning Continental Breakfast:

I would like to volunteer to help with (optional):

(Parking, Trail Leader/Gunner, Event Set-up/Breakdown, Raffle Ticket Sales, etc.)

Please make a Check or Money Order to: The Northeast Association of 4WD Clubs along with this form and send to:

NEA4WDC

C/O Fall Crawl 2011

PO Box 67

Weare, NH03281

Terms & Conditions:

1. Payment: Payment in full is due when the registration is submitted. Acceptable payment methods include check, Paypal, or money order. Please mark all payments as 2011 Fall Crawl and Make Checks Payable to Northeast Association of 4WD Clubs. Forms can also be e-mailed to Tammy Van Gemert @

2. Cancellation/Refund: Once registration has been submitted and payment has been confirmed, the cancellation/refund policy is as follows:

Two months prior to the event: 50%

One month or less prior to the event: No refund will be given.

3. The Fall Crawl is a sanctioned event of the Northeast Association of 4WD Clubs, Inc. The event is open only to people who are a member of a Northeast Association of 4WD Clubs, Inc. Member Club or Supporting Business Member organization. Upon authorization of the Executive Officers of the Northeast Association of 4WD Clubs, Inc. special guests such as event sponsors may be permitted to attend the event.

4. The Northeast Association of 4WD Clubs shall not be held liable for any loss, damage, injury, or any other act as a result of attending the Fall Crawl.

5. Registration for trail selections is on a first-come-first-serve basis. Trail Swapping will not be allowed unless you receive prior authorization from Scott Hatch or the Trail Leader. Exceptions will not be made for those who sign-up for a trail that their vehicle does not meet the requirements of, they will be asked to forfeit their spot.