Hump N Bump 2010

Welcome to the Hump N Bump 2010 Online Registration! Please fill in the form below. Payment methods are any major credit card or Paypal. To pay via check please go back to the Hump N Bump page to download the registration form and mail it in with your payment.
Driver's Name
Phone Number
Address
Vehicle Type
City, State, Zip
    
License
Email
Camping Info
Registration Includes:
  Trail Rides Friday & Saturday 1 H&B Sticker
  1 Dash Plaque 5 Adult Raffle Tickets
  BBQ Dinner & T-Shirts SOLD SEPERATLY
Registration per Vehicle (Before November 1st) $55 = 
Power and Water ONLY (Friday/Saturday) $30 = 
Adult BBQ Dinners $15 = 
Children Under 12 BBQ Dinners $5 = 
T-Shirts $15 = 
Donation to the Southern Nevada Trail Fund
 
Total Amount = 


T-Shirt Sizes/Quantity
   M    L    XL    XXL    XXXL 
(According to the count above you have shirts remaining to allocate)
 
Safety Requirements: All vehicles will be required to adhere to UFWDA Safety Requirements listed below. There WILL be a tech inspection at the event. No refunds if you don't comply. You must agree to each of the following requirments before we accept your registration.
Roll bar or factory installed hard top
Functional parking brake
Tow strap or rope (no metal hooks)
First aid kit
Jack capable of lifting your vehicle
Tools to change your tire
Spare tire (no temporary spare)
Seatbelts for all vehicle occupants
Tow points front and rear
Battery hold-downs (no bungees)
Fire extinguisher
Plenty of water (for you and your vehicle)
Upon picking up your registration package at the Hump N Bump event you will be required to sign a Release Form.