Haliburton ATV Association
PO Box 88, Eagle Lake, Ontario, K0M 1M0


ATV Safari - May 8th & 9th


Please print and fill out.
One application per rider

Name:_____________________________
Address: _______________________________________
E-mail:________________Phone:_________

Beginner __Intermediate: ___Expert: ____

Bike Type: _______________Insurance Company:_____________Policy #: ________

OFATV Member ? ___OFATV Club:_________________________ Non - OFATV Member ? ________


#
_$100 OFATV Member (cheque enclosed) ________ + GST
_$135 Non OFATV Member (cheque enclosed) ________ + GST

Safety Considerations
  • zero tolerance alcohol trail policy (no refunds)
  • no two up riding
  • must be plated, licensed & insured
  • no loud piped bikes
  • approved helmets (goggles reccomended)
  • twostrap reccommended
  • rain gear, sturdy boots reccommended
  • atv must be in good working order including brakes
ADMIN (Event Staff use)
Received Payment _______
Insurance Info _______
Bike Inspect
Plate _____
Safety_____
Noise Level
OFATV Confirm _____
Non OFATV Insurance Form ____
Event Liability Waiver _____

Trails Signed up: Sat:_________________ Sun:___________________

Processed By:_________________________