Wicked Jeeps West Michigan Membership Application
* Required
Name
*
First Name
Last Name
Facebook Name
*
Email
*
example@example.com
Date of birth *Adult members must be 18 years or older. Junior members must be at least 15 years with a *learners permit or a *driver license (*to drive at events) and a sponsoring parent who is an official member.
*
mm/dd/yyyy
What official event(s) have you attended? *Attendance of at least one official event is required for application
*
Please list the name(s) of 2 official members you have met at an official event. *Introduction to an official member is required for application
*
Please visit the following url to review the Bylaws. Do you agree to follow? https://www.facebook.com/groups/WickedJeepsWestMichigan/permalink/5513346985378379
*
Yes
No
What is the make and model of you Jeep(s)? *Jeep branded ownership is required for membership
*
After filling out please go on Facebook and message Steven Uphold (DIRECTOR OF MEMBERSHIP) stating that you have submitted an application
*
Please visit the following url to review the Tread Lightly principles. Do you agree to follow at all times? https://treadlightly.org/learn/
*
Yes
No
Submit
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