CENTURION VEHICLE REGISTRATION - ASCENSION DE VERDUGA

CENTURION MILSIM Vehicle Registration Only

This form should be completed by those IDENTIFIED MEMBERS who are wanting to use them during OP Santa Muerte at Muscatatuck Urban Training Center, IN. Be sure to fill out all the information below. You must be registered as an individual in order to bring a vehicle. COMPLETING THIS FORM DOES NOT GIVE YOU PERMISSION TO USE YOUR VEHICLE.
Vehicle Owner Name*

First NameLast Name
Vehicle Owner Contact Number*

Area CodePhone Number
Vehicle Owner EMAIL Address*
Vehicle Owner Address*

Street Address

Street Address Line 2

CityState / Province

Postal / Zip CodeCountry
SELECT THE TEAM FOR YOUR VEHICLE*

PMCCommandosODA 441FARISLos JefesDESIGNATED FOR BOTH SIDES USE BY CENTURION
TYPE OF VEHICLE USE INTENDED*

TROOP MOVER (OPEN BED TRUCK)DIRECT ACTION GUN VEHICLE (OPEN OR CLOSED BED)SCENARIO BASED USAGE (NON-FIRING PLATFORM)Other
I UNDERSTAND that by volunteering the use of the vehicle below, I DO NOT HOLD the event organizers or the LAND OWNERS responsible for any injuries and or damage.*

I AGREE
I UNDERSTAND that I must be validated to use this vehicle by one of the CENTURION STAFF members prior to the event start.*

I AGREE
I UNDERSTAND that this is a FULL TEAM USE VEHICLE and NOT JUST FOR SELECTED MEMBERS due to insurance or other restrictions.*

I AGREE
I have read the Centurion TACSOP and seen the safety video. I agree to obey the regulations outlined on both in regards to vehicle play.*

I AGREE
VEHICLE DESCRIPTION*
Give the MAKE/MODEL/COLOR and short description of the vehicle to include capabilities. Be sure to include safety features and other items like PLEXIGLASS OR BB SCREENS.
UPLOAD AT LEAST ONE PHOTO OF YOUR VEHICLE IN ITS CONFIGURATION
Signature of Vehicle Owner / Title Holder*

Clear
Enter the message as it's shown*
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CENTURION MILSIM Vehicle Registration Only

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