2022 ATR Charity Event Registration Form

Event Dates: Thursday September 1st - Monday September 5th.
DRIVER SECTION

(Ages 18 & up)
Driver Full Name *

First Name Last Name
Select YES to add Driver to this Registration *

Yes No (If no, driver must have already registered for 2022 event on another registration)
Year
Make
Model
Tire Size
Driver Mailing Address

Street Address

Street Address Line 2

City State

Zip Code
Vehicle Color
Driver Cell Phone Number

Area Code Phone Number
Driver Email
example@example.com
WindRock Permit Selection - A Permit is required for each day you ride, please select all days you will be riding trails

One Day Two Days Three Days Four Days Annual Permit Holder - I currently have a WindRock Annual Permit (must show permit during check-in)
Driver - Camping Selection (Special Event Area)

$17.00 (4 nights of camping, 9/1 - 9/5) Not Camping
Driver - T-Shirt Size Selection
Calculation
Driver Permit Sub-Total
Want to share a picture of your Rig?

Upload a picture and we just might feature it on social media or our website
Please note that by uploading a picture, you grant Appalachian Toyota Round-Up access to use this image by means of social media, marketing, website, etc.

Browse Files

Cancel of
Trail Difficulty Preferences

WindRock Park has trails available for all vehicle levels, what trail difficulty level would you like to ride during the event?
Please select the trail level you'll be riding during group rides (Select all trail options that apply)

(EASY GREEN TRAILS ONLY) gravel roads and hard-packed clay trails with few if any challenges (GREEN AND EASY BLUE TRAILS) gravel and clay trails with some smaller rocks and mountainous terrain (MODERATE BLUE TRAILS) trails may include mud, larger rocks and steep mountainous terrain (DIFFICULT BLUE TRAILS) mud, very large rocks, off-camber obstacles and aggressive mountainous terrain (BLACK TRAILS) extreme off-camber obstacles, very extreme hill climbs, large boulders, body damage probable
Do you have an off-road club or group affiliation?

Please list only one club or group
Please list the name of group/club you're representing for the club participation trophy
List only ONE club/group
Select "Yes" if your Off-Road Club or Group would like to put up a club tent at the pavilion to introduce others to your club.

Yes No
Here's your chance to vote for your favorite Vendor or Manufacturer

(Please list only one Vendor or Manufacturer)
Please list the name of the Vendor or Manufacturer you're nominating for the "Attendees Choice Award"
List only ONE
Emergency Contact - This is optional but highly encouraged

List who you would like notified if you or any of your passengers experience an emergency during the event (this should be a person not attending with you)
Name of Emergency Contact

First Name Last Name
Contact Number

Area Code Phone Number
Passenger Section

Ages 18 & up
How many Adult Passenger's (18 & up) are attending in your vehicle?

1 Adult Passenger 2 Adult Passengers 3 Adult Passengers 4 Adult Passengers Click to reset answer
Passenger Calculation
Passenger 1 - Full Name

First Name Last Name
Passenger 1 - Phone Number

Area Code Phone Number
Passenger 1 - Email
example@example.com
Passenger 1 - Mailing Address

Street Address

Street Address Line 2

City State

Zip Code
Passenger 1 - Trail Day Selection

One Day Two Days Three Days Four Days Annual Permit Holder - They have a WindRock Annual Permit
Passenger 1 - Camping Selection

$17.00 (4 nights) Not camping in event area
Passenger 1 - T-Shirt Size Selection
Passenger 2 - Full Name

First Name Last Name
Passenger 2 - Phone Number

Area Code Phone Number
Passenger 2 - Email
example@example.com
Passenger 2 - Mailing Address

Street Address

Street Address Line 2

City State

Zip Code
Passenger 2 - Trail Day Selection (Select all that apply)

One Day Two Days Three Days Four Days Annual Permit Holder - They have a WindRock Annual Permit
Passenger 2 - Camping Selection

$17.00 (4 nights) Not camping in event area
Passenger 2 - T-Shirt Size Selection
Passenger 3 - Full Name

First Name Last Name
Passenger 3 - Phone Number

Area Code Phone Number
Passenger 3 - Email
example@example.com
Passenger 3 - Mailing Address

Street Address

Street Address Line 2

City State

Zip Code
Passenger 3 - Trail Day Selection (Select all that apply)

One Day Two Days Three Days Four Days Annual Permit Holder - They have a WindRock Annual Permit
Passenger 3 - Camping Selection

$17.00 (4 nights) Not camping in event area
Passenger 3 - T-Shirt Size Selection
Passenger 4 - Full Name

First Name Last Name
Passenger 4 - Phone Number

Area Code Phone Number
Passenger 4 - Email
example@example.com
Passenger 4 - Mailing Address

Street Address

Street Address Line 2

City State

Zip Code
Passenger 4 - Trail Day Selection (Select all that apply)

One Day Two Days Three Days Four Days Annual Permit Holder - They have a WindRock Annual Permit
Passenger 4 - Camping Selection

$17.00 (4 nights) Not camping in event area
Passenger 4 - T-Shirt Size Selection
Child Passenger Section (Ages 13 - 17)

Meals are included. T-Shirts are not included but can be added for child passengers below.
How many Child Passenger's (Ages 13-17) would you like to add?

1 Child Passenger 2 Child Passengers 3 Child Passengers 4 Child Passengers Click to reset answer
13-17 Calculation
Child 1 - Trail Day Selection (Select all that apply)

One Day Two Days Three Days Four Days Annual Permit Holder - They have a WindRock Annual Permit
Child 1 - Camping Selection

$17.00 (4 nights) Not camping in event area
Child 1 - Full Name

First Name Last Name
Child 2 - Trail Day Selection (Select all that apply)

One Day Two Days Three Days Four Days Annual Permit Holder - They have a WindRock Annual Permit
Child 2 - Camping Selection

$17.00 (4 nights) Not camping in event area
Child 2 - Full Name

First Name Last Name
Child 3 - Trail Day Selection (Select all that apply)

One Day Two Days Three Days Four Days Annual Permit Holder - They have a WindRock Annual Permit
Child 3 - Camping Selection

$17.00 (4 nights) Not camping in event area
Child 3 - Full Name

First Name Last Name
Child 4 - Trail Day Selection (Select all that apply)

One Day Two Days Three Days Four Days Annual Permit Holder - They have a WindRock Annual Permit
Child 4 - Camping Selection

$17.00 (4 nights) Not camping in event area
Child 4 - Full Name

First Name Last Name
Child Passenger Section (Ages 6 - 12)

Meals are included. T-Shirts are not included but can be added for child passengers below.
How many Child Passenger's (Ages 6 - 12) would you like to add?

1 Child Passenger 2 Child Passengers 3 Child Passengers 4 Child Passengers Click to reset answer
6-12 Calculation
Child 1 - Trail Day Selection (Select all that apply)

One Day Two Days Three Days Four Days Annual Permit Holder - They have a WindRock Annual Permit
Child 1

First Name Last Name
Child 2 - Trail Day Selection (Select all that apply)

One Day Two Days Three Days Four Days Annual Permit Holder - They have a WindRock Annual Permit
Child 2

First Name Last Name
Child 3 - Trail Day Selection (Select all that apply)

One Day Two Days Three Days Four Days Annual Permit Holder - They have a WindRock Annual Permit
Child 3

First Name Last Name
Child 4 - Trail Day Selection (Select all that apply)

One Day Two Days Three Days Four Days Annual Permit Holder - They have a WindRock Annual Permit
Child 4

First Name Last Name
Child Passenger Section (Ages 5 & under)

T-Shirts and food are not included, but can be purchased below if desired.
How many Child Passenger's (Ages 5 & under) would you like to add?

1 Child Passenger 2 Child Passengers 3 Child Passengers 4 Child Passengers Click to reset answer
Child 1 - Trail Day Selection (Select all that apply)

One Day Two Days Three Days Four Days Annual Permit Holder - They have a WindRock Annual Permit
Child 1

First Name Last Name
Child 2 - Trail Day Selection (Select all that apply)

One Day Two Days Three Days Four Days Annual Permit Holder - They have a WindRock Annual Permit
Child 2

First Name Last Name
Child 3 - Trail Day Selection (Select all that apply)

One Day Two Days Three Days Four Days Annual Permit Holder - They have a WindRock Annual Permit
Child 3

First Name Last Name
Child 4 - Trail Day Selection (Select all that apply)

One Day Two Days Three Days Four Days Annual Permit Holder - They have a WindRock Annual Permit
Child 4

First Name Last Name
5 & under Child Calculation
Additional items available for purchase
Every registered attendee (ages 18 & up) will recieve an event t-shirt.

If you would like to purchase additonal t-shirts, please make your selection below.
Click Yes to purchase 2022 T-Shirts (Iceberg White, Cement Gray, Mean Green, Radiant Red, Sandstorm Tan)

Yes Click to reset
Ice - Small
$15.00/Quantity
Ice - Medium
$15.00/Quantity
Ice - Large
$15.00/Quantity
Ice - XL
$15.00/Quantity
Ice - XXL
$17.00/Quantity
Ice - XXXL
$17.00/Quantity
Ice - XXXXL
$19.50/Quantity
Cement - Small
$15.00/Quantity
Cement - Medium
$15.00/Quantity
Cement - Large
$15.00/Quantity
Cement - XL
$15.00/Quantity
Cement - XXL
$17.00/Quantity
Cement - XXXL
$17.00/Quantity
Cement - XXXXL
$19.50/Quantity
Green - Small
$15.00/Quantity
Green - Medium
$15.00/Quantity
Green - Large
$15.00/Quantity
Green - XL
$15.00/Quantity
Green - XXL
$17.00/Quantity
Green - XXXL
$17.00/Quantity
Green - XXXXL
$19.50/Quantity
Red - Small
$15.00/Quantity
Red - Medium
$15.00/Quantity
Red - Large
$15.00/Quantity
Red - XL
$15.00/Quantity
Red - XXL
$17.00/Quantity
Red - XXXL
$17.00/Quantity
Red - XXXXL
$19.50/Quantity
Sand - Small
$15.00/Quantity
Sand - Medium
$15.00/Quantity
Sand - Large
$15.00/Quantity
Sand - XL
$15.00/Quantity
Sand - XXL
$17.00/Quantity
Sand - XXXL
$17.00/Quantity
Sand - XXXXL
$19.50/Quantity
Click Yes to purchase ATR Army Gear

Yes Click to reset
Army T - Small
$18.50/Quantity
Army T - Medium
$18.50/Quantity
Army T - Large
$18.50/Quantity
Army T - XL
$18.50/Quantity
Army T - XXL
$18.50/Quantity
Army T - XXXL
$18.50/Quantity
Army T - XXXXL
$22.50/Quantity
Army S - Small
$34.00/Quantity
Army S - Medium
$34.00/Quantity
Army S - Large
$34.00/Quantity
Army S - XL
$34.00/Quantity
Army S - XXL
$34.00/Quantity
Army S - XXXL
$34.00/Quantity
Army S - XXXXL
$40.00/Quantity
Children 5 & under are free, (Excluding WindRock Permits) but this does not include food for Friday or Saturday night. Please use the option below to purchase meal tickets for them if needed. You may also purchase extra meal tickets for adults if extra food is desired.
Number of "extra" meal tickets needed for children or adults. (Meal tickets are only include for drivers, adult passengers, and children ages 6-17.)
Select Quantity
Extras Cost
Payment Section
Total
Registration Code
Leave blank unless given a registration code
Final Total
Discount Amount

Event Registration Total - Amount charged to your credit card

USD Description

Credit Card Details
First Name	Last Name
Credit Card Number	Security Code
Card Expiration

Electronic Signature Required (Please print/save a copy of your registration and bring with you to check-in.) *

Clear
Enter the message as it's shown *
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DRIVER SECTION

Want to share a picture of your Rig?

Trail Difficulty Preferences

Do you have an off-road club or group affiliation?

Here's your chance to vote for your favorite Vendor or Manufacturer

Emergency Contact - This is optional but highly encouraged

Passenger Section

Child Passenger Section (Ages 13 - 17)

Child Passenger Section (Ages 6 - 12)

Child Passenger Section (Ages 5 & under)

Additional items available for purchase

Payment Section