To register please fill out the form below and print a copy to be mailed with your check or money order, then send the form along with your payment to:

Offroad Adventure Outfitters, Inc.,
8846 Lesley Lane
Brownsburg, IN 46112

Trip Information

Date of Trip:

Name of Participant:

Driver's License Number:

Mailing Address:

City, State, Zip:

Telephone:

Fax:

E-mail:

Emergency Contact Name, Relationship to You, and Phone Number:

Passengers

Name:

Age:      Relationship:

Name:

Age:      Relationship:

Name:

Age:      Relationship:

Payment Information

Training Level I ($125 + $25 per passenger)
Training Level II ($125 +$25 per passenger)

Total Amount Due:

Please send a check or money order payable to Offroad Adventure Outfitters.

Trip Type

Level I Offroad Driver Training Class
Level II Offroad Driver Training Class
Guide Service
Adventure Trip

Level of Experience

None
Some
Limited
Moderate
Expert

Type of Experience, if any (check all that apply):

Mud
Rocks
Sand
Water
Hills
Off-camber
Woods
Snow

Vehicle Information

Your vehicle is REQUIRED to have the following: working four wheel drive system, seat belts, and frame mounted (not welded) front and rear tow hooks.

Year:      Make and Model:

License Plate Number:      State Issued:

I certify that the above information is true and correct and will remain valid and in effect through the duration of my participation in the Offroad Adventure Outfitters events listed above. Any false or omitted information is grounds for expulsion from the event without refund. In the event any dispute, contract or tort, the laws of the State of Indiana shall apply without exception. Any misrepresentations of fact may be grounds for expulsion without refund.