Mackenzie Muster 4WD Experience 2018
Thank you for your interest in the Mackenzie Muster 2018!
The dates for this are 25 February to 1 March 2018 (inclusive).

This is the Registration of Interest form. Places will be offered based on the order we receive correctly/fully completed copies of this form. Therefore PLEASE make sure that you push the submit button when you finish. Completing this form is NOT a guarantee of a place, as we expect places to fill fast and the trip to be oversubscribed. There will be a waiting list.

There are a number of sections to complete. Please make sure you fill out ALL the questions completely.

There are spaces for 30 TRUCKS on this trip (irrespective of the number of passengers).

There is a flier and more information available on the week of events HERE - https://goo.gl/i3f1LQ

Any questions please contact OR4G Secretary Greg Carroll - info@or4g.org.nz

Driver Name
Your answer
Home Address
Your answer
email address
Your answer
Cell Phone number
Your answer
Home phone
Your answer
Home Club
To come on the trip you have to be a member of a NZ4WDA affiliated club and be a current financial member of the NZFWDA. You will be able to join OR4G for $50 per vehicle if needed.
Your answer
ICE name and number
Please include the name and number of someone who can be contacted in an emergency.
Your answer
Passengers
Please complete information for ALL passengers. Note that a registration fee will be payable for all passengers as well as the driver of each vehicle.
Name and ICE number for Passenger 1
Your answer
Name and ICE number for Passenger 2
Your answer
Name and ICE number for Passenger 3
Your answer
Name and ICE number for Passenger 4
Your answer
Driver and Passenger Skills
Please choose the descriptions that fit best
Driver Skills
First Aid Skills of Driver
Passenger medical and other relevant skills
Please indicate any passengers who have advanced skills or particularly who are medical professionals.
Your answer
Next
Never submit passwords through Google Forms.
This content is neither created nor endorsed by Google. Report Abuse - Terms of Service - Additional Terms