Beaver County ATV Jamboree
             
 
Driver Information
First Name: Last Name:
Address:
Address:
City: State/Province: ZIP/Postal Code:
Phone:
Email:
 
Emergency Contact Name
Emergency Contact Phone Number

This registration page is set up to accept a registration submission for each machine.  Please select the Driver and number of passengers.
 
Full Jamboree Registration
Driver Full Jamboree Registration:   $90.00   Select:   Item Subtotal:  
$90.00
T-Shirt Size
Machine Year, Make, Model, and Color
Wednesday Ride Selection
Thursday Ride Selection
Friday Ride Selection
Saturday Ride Selection
 
Passenger Full Jamboree Registration (per person):   $90.00   Quantity:   Item Subtotal:  
$0.00
Passenger Full Name [1]
T-Shirt Size [1]

Passenger Full Name

[2]
T-Shirt Size [2]

Passenger Full Name

[3]
T-Shirt Size [3]

Passenger Full Name

[4]
T-Shirt Size [4]

Passenger Full Name

[5]
T-Shirt Size [5]

Passenger Full Name

[6]
T-Shirt Size [6]

Passenger Full Name

[7]
T-Shirt Size [7]

Passenger Full Name

[8]
T-Shirt Size [8]

Passenger Full Name

[9]
T-Shirt Size [9]

Passenger Full Name

[10]
T-Shirt Size [10]
 
Additional Jamboree T-shirts
Additional Jamboree T-shirts:   $17.00   Quantity:   Item Subtotal:  
$0.00
T-Shirt Size [1]

T-Shirt Size

[2]

T-Shirt Size

[3]

T-Shirt Size

[4]

T-Shirt Size

[5]

T-Shirt Size

[6]

T-Shirt Size

[7]

T-Shirt Size

[8]

T-Shirt Size

[9]

T-Shirt Size

[10]
Total:
$90.00
 

Cancellation/Refund Policy

We understand things come up and you may need to cancel. Prior to April 10th a full refund will be issued minus the transaction fee. From April 11th - May 1st the partial refund of $25 per registration will be issued. After May 2nd no refund will be issued. 

A refund request must be made in writing and sent to Michelle Evans at michelleevans@beaver.utah.gov.

I agree
I have read and agree to the Cancellation/Refund policy above.
 
Payment Information
Method of Payment:
Processing Fee Rates:
Cards: 2.9% plus $0.30
Update name from Driver Information
Name of Individual
on Checking Account:
Name of Individual
on Savings Account:
Name of Business
on Checking Account:
Bank Routing Number:
Bank Account Number:
Confirm Account Number:
Credit Card Number: (Type number or swipe with cursor in this empty field)
Expiration Date: /
Card ID (CVV2/CID) Number: What is the Card ID?
Cardholder Information (exactly as it appears on your statement)
  Update from Driver Information
Cardholder's Name:
Billing ZIP/Postal Code:
 
Please be aware that credit card payments will reflect on your statement as
County UT 8007640844 ClintonUT
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