2020 Registration Your DetailsFirst & Last Name*Email* Phone*Address* Street Address City State / Province / Region ZIP / Postal Code Country AfghanistanÅland IslandsAlbaniaAlgeriaAmerican SamoaAndorraAngolaAnguillaAntarcticaAntigua and BarbudaArgentinaArmeniaArubaAustraliaAustriaAzerbaijanBahamasBahrainBangladeshBarbadosBelarusBelgiumBelizeBeninBermudaBhutanBoliviaBonaire, Sint Eustatius and SabaBosnia and HerzegovinaBotswanaBouvet IslandBrazilBritish Indian Ocean TerritoryBrunei DarrussalamBulgariaBurkina FasoBurundiCambodiaCameroonCanadaCape VerdeCayman IslandsCentral African RepublicChadChileChinaChristmas IslandCocos IslandsColombiaComorosCongo, Democratic Republic of theCongo, Republic of theCook IslandsCosta RicaCôte d'IvoireCroatiaCubaCuraçaoCyprusCzech RepublicDenmarkDjiboutiDominicaDominican RepublicEcuadorEgyptEl SalvadorEquatorial GuineaEritreaEstoniaEswatini (Swaziland)EthiopiaFalkland IslandsFaroe IslandsFijiFinlandFranceFrench GuianaFrench PolynesiaFrench Southern TerritoriesGabonGambiaGeorgiaGermanyGhanaGibraltarGreeceGreenlandGrenadaGuadeloupeGuamGuatemalaGuernseyGuineaGuinea-BissauGuyanaHaitiHeard and McDonald IslandsHoly SeeHondurasHong KongHungaryIcelandIndiaIndonesiaIranIraqIrelandIsle of ManIsraelItalyJamaicaJapanJerseyJordanKazakhstanKenyaKiribatiKuwaitKyrgyzstanLao People's Democratic RepublicLatviaLebanonLesothoLiberiaLibyaLiechtensteinLithuaniaLuxembourgMacauMacedoniaMadagascarMalawiMalaysiaMaldivesMaliMaltaMarshall IslandsMartiniqueMauritaniaMauritiusMayotteMexicoMicronesiaMoldovaMonacoMongoliaMontenegroMontserratMoroccoMozambiqueMyanmarNamibiaNauruNepalNetherlandsNew CaledoniaNew ZealandNicaraguaNigerNigeriaNiueNorfolk IslandNorth KoreaNorthern Mariana IslandsNorwayOmanPakistanPalauPalestine, State ofPanamaPapua New GuineaParaguayPeruPhilippinesPitcairnPolandPortugalPuerto RicoQatarRéunionRomaniaRussiaRwandaSaint BarthélemySaint HelenaSaint Kitts and NevisSaint LuciaSaint MartinSaint Pierre and MiquelonSaint Vincent and the GrenadinesSamoaSan MarinoSao Tome and PrincipeSaudi ArabiaSenegalSerbiaSeychellesSierra LeoneSingaporeSint MaartenSlovakiaSloveniaSolomon IslandsSomaliaSouth AfricaSouth GeorgiaSouth KoreaSouth SudanSpainSri LankaSudanSurinameSvalbard and Jan Mayen IslandsSwedenSwitzerlandSyriaTaiwanTajikistanTanzaniaThailandTimor-LesteTogoTokelauTongaTrinidad and TobagoTunisiaTurkeyTurkmenistanTurks and Caicos IslandsTuvaluUgandaUkraineUnited Arab EmiratesUnited KingdomUnited StatesUruguayUS Minor Outlying IslandsUzbekistanVanuatuVenezuelaVietnamVirgin Islands, BritishVirgin Islands, U.S.Wallis and FutunaWestern SaharaYemenZambiaZimbabwe Emergency Contact: Name and Number*Vehicle DetailsVehicle Year*Pre 2006200620072008200920102011201220132014201520162017201820192020Model*Power WagonRebel15002500 Hemi Crew Cab 6.4' Box2500 Hemi Crew Cab 8' Box2500 Hemi Single Cab 8' box2500 Diesel Crew Cab 6.4' Box2500 Diesel Crew Cab 8' Box2500 Diesel Single Cab 8' Box3500 Standard Bed3500 Long BedModifications - Select any that apply*Stock35 inch tires37+ inch tiresAfter Market Rear Locker (not LSD)After Market Front Locker (not LSD)Front Diff ProtectionRear Diff ProtectionTrans Skid PlateAftermarket Front BumperAftermarket Rear BumperSliders (not steps)Suspension Lift 2 inchSuspension Lift 3 - 5 inchSuspension Lift 6+Use Command (Mac) or Control (Windows) while selecting for multi-selectAdditional InfoBuild Sheet/Specs A build sheet/specs will be required for all non-Power Wagons. If not provided here, we will contact you via email. Our goal is to ensure a safe and fun experience for all event guests! Instagram Account How did you hear about the event?*FacebookInstagramYouTubePower Wagon RegistryFrom a friendPreviously Attended PWiMOtherPreferred form of communication for Event News*Offroad Power Wagon group on FacebookPower Wagon Registry Event threadEmailRegistration AgreementBy registering for Power Wagons in Moab 2020, you are agreeing to pay a non-refundable registration fee. You are also agreeing to the terms of the event waiver found on this site and the basic requirements for gear on the trail. Offroad Treks LLC reserves the right to deny participation in the event a driver or vehicle has been deemed unreliable, unsafe, or does not adhere to the principles of Tread Lightly and Leave No Trace. I acknowledge I've read the Registration Agreement and Liability Waiver*CLICK HERE to read the Event Liability Waiver.Yes, sign me upRegistration Fee*DriverDriver + 1 passengerDriver + 2 passengersDriver + 3 passengersDriver + 4 passengersThe Registration Fee for the Driver is $175. Each passenger is $30. Passengers under the age of 16 are free. NameThis field is for validation purposes and should be left unchanged.
