CONTACT INFORMATION
First Name:
Required
Last Name:
Required
Address:
Required
City:
Required
State:
Zip: Required
Phone Number:
Required
Email Address:
Emergency contact name:
Required
Emergency contact phone:
Required
Club affiliation:
Select Club, or other Affiliation
Media Representative (Enter affiliation below)
Vendor (Enter company below)
4x4 Grace
Atomic City Four Wheelers
Carolina Off Road Extremists (CORE)
Carolina Trailblazers 4WD Club
Central Alabama Offroad Society
Cumberland Highlanders 4WD Organization
Cumberland Off-Road
Damn Locals
East Tennessee 4WD Club
East Tennessee Ridge Runners
Extreme Ridge Runners
Georgia Bounty Runners 4WD Club
Georgia Cruisers 4WD Club
Heart of Dixie Offroad Club
K&I 4 Wheelers
Middle Tennessee Christian Jeep Club
Middle Tennessee Trailruners 4WD Club
Mobile Off-Road Extreme
Off Camber 4WD Club
Ohio River Four Wheelers
Plum Crazzed Jeep Club
Rattlerock 4-Wheel Drive Club
Renegade 4WD Club
Rock Solid Jeep Club
Rocky Top Trail Riders
Rocket City Rock Crawlers 4WD Club
Scenic City 4WD Club
Southeast Tennessee Axle Twisters
Southeast Toyota Land Cruiser Association
Southern Jeeps
Southern Land Rover Society (SOLAROS)
TKO Trailriders
Traxx In Motion 4 Wheel Drive Club
Trick n Traction 4WD Club
Volunteer Four Wheel Drive Club
Xtreme 4X4
Other club:
EVENT and RIDE INFORMATION
Number of adults in your group:
Required
Number of children in your group:
Where are you staying?:
Camp Hotel Home Other
What days do you plan to ride?:
(Check all that apply...)
Friday Saturday Sunday
Ride level desired:
Predator Beast Monster No Ride
Predator (Medium): Modified vehicles with 31" mud tires (33" is better), locker or winch, roll bar or hard top.
Off-road driving experience is desirable. Possible scratches or dents.
Beast (Hard): Modified vehicles with 35" tires, winch, roll cage, front and rear lockers, tools. Spare axles and other parts recommended. You better know how to drive! Mechanical breakage or body damage possible.
Monster (Extreme): Super modified vehicles, 38" or larger tires, low gear ratios in axle / transmission / transfer case, full roll cage, winch, front and rear lockers, tools, spare parts (and lots of them). You better really know how to drive! Mechanical breakage and body damage likely. "Likely" means it's gonna happen if you're not really careful!
Do you have an annual Tellico permit?:
No Yes
VEHICLE INFORMATION
Make: Required
Model:
Color:
Tag:
T SHIRTS / SWEATSHIRTS
~ Too late to order shirts. You may be able to buy one at the event.
MEAL TICKETS & BREAKFAST
Specify how many extra meal tickets you need for the Saturday night dinner.
Two(2) Meal tickets are included in your registration fee. Children 6 and under are free.
Extra Meal Tickets (Saturday Night)
Qty: @ $8.50 Each
Breakfast is available Friday and Saturday mornings.
Friday Breakfast
Qty: Adult @ $7.00 Qty: Child @ $5.50 (Ages 6 - 12)
Saturday Breakfast
Qty: Adult @ $7.00 Qty: Child @ $5.50 (Ages 6 - 12)
Donate to Rescue Tellico Fund (Optional)
Thank you for considering a donation to Southern Four Wheel Drive Association's Rescue Tellico Fund. The purpose of the fund is to help keep open the Upper Tellico OHV Area for the enjoyment of all 4-wheeling enthusiasts.We intend to use the Rescue Tellico Fund for legal expenses and trail maintenance expenses.
My Donation
$
PAYMENT OPTIONS
For your convenience, you can pay by credit card, check or money order.
Credit card payments are accepted using the PayPal service (safe and convenient).
A PayPal Account
is not required to use this service.
After you click "Credit Card" or "Check", the next screen will provide you with the
total cost of the event and details needed to submit your payment.