Class Name*

Club

Please select what club you are a member of or indicate none

Other Club Name

Tell us the name of the club you are a member of

Driver: Are you a Veteran?*

Please tell us if you are a veteran in addition to volunteering your time as a driver with your own rig.

Yes, I am a veteran
No, I am not a veteran

Veteran Seats*

How many open passenger seats do you have for veterans in your vehicle (you must have a minimum of 1). Each seat must have a seat belt.

One
Two
Three

Passengers*

How many passengers are you bringing? NOTE: YOUR FRONT PASSENGER SEAT MUST BE RESERVED FOR A VETERAN.

None, just myself
One
Two
Three

Driver Name*

First Last

Driver Address*

Street Address City State ZIP Code

Driver Email*

Driver Phone*

Adult Driver & License Confirmation (Required)*

Drivers must be 18+ years old and have a valid drivers license

Driver License State*

Driver License Number*

Driver 1 Off-Road Driving Experience*

Tell us your experience level (i.e. None, beach driving, dirt roads, etc.)

Passenger 1 Information (Age 7+)

Passenger 1 Name*

First Last

Passenger 1 Age (7+)*

Passenger 1 Email

Passenger 2 Information (Age 7+)

Passenger 2 Name*

First Last

Passenger 2 Age (7+)*

Passenger 2 Email

Passenger 3 Information (Age 7+)

Passenger 3 Name*

First Last

Passenger 3 Age (7+)*

Passenger 3 Email

Vehicle Information

Vehicle Info

Please enter Make, Model, Year of your rig and how many total seats it has.

Trailering - Space Is Limited (Required)*

Are you trailering your rig to the event or driving it. Note: space for trailers is limited, we will contact you to confirm availability.

Stock or Modified (Required)*

We have trails for both stock and modified vehicles.

Transmission (Required)*

Does your vehicle have an automatic or manual transmission?

Tire Size (Required)*

How Did You Hear About Us? (Required)*

Additional Notes

Please tell us anything else we should know about you.

Contribute to NORA's SOAR program*

NORA's SOAR program is designed for people with mobility impairment (i.e. para/quad, Cerebral Palsy, stroke, etc.) to recreate at NORA using adaptive equipment. Every contribution helps keep our program available. Click on the SOAR tab at the top of the page to learn more. Thank You!

Online Waiver Notice*

Upon completing registration you will receive an automated email receipt with a link to our online waiver. Please complete prior to your class. Thanks!

I will fill out the online form prior to class

Product Name

Total

$0.00

Northeast Off-Road Adventures

WFTW: Wheelers For The Wounded Veterans Event: Sun Oct 11, 2026

Passenger 1 Information (Age 7+)

Passenger 2 Information (Age 7+)

Passenger 3 Information (Age 7+)

Vehicle Information

Description