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First name

Last name

Primary Phone Number

Email

Multi-line address

Country/Region

Address

City

Zip / Postal code

Emergency Contact

Emergency Contact Phone Number

What type of wheeling are you interested in?

FSR soft riding and exploring

FSR soft exploring with moderate trail exploration [4x4 required, little to no recovery gear]

Intermediate Exploration [4x4 required, basic recovery gear winch, some technical knowledge]

Advanced Exploration [4x4 Required - Advanced skills and recovery gear]

Passenger Princess!

Other, Let us know!

How did you hear about us?

Suggestions for us? (Where you would like to go wheeling, What kind of events would you like to see, What would you like to learn? etc.)

I am at least 19 years of age

I have read and agree to the Code of Ethics https://www.bc4x4women.com/code-of-ethics

I have read and agree to the Code of Conduct https://www.bc4x4women.com/code-of-conduct

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