2026 WSR Registration

Owner/Participant Name*

First NameLast Name
T-Shirt Size*
Sizes will be distributed on a 1st come basis. Additional shirts will be available for purchase at the event
Address*

Street Address

Street Address Line 2

CityState

Zip Code
Email*
example@example.com
Vehicle Information
Year*
Make / Model*
Waiver: I acknowledge that I am willing to release Courtesy Automotive and Louisiana Jeepers from all claims, damages, and injuries whatsoever that may be suffered by entrant, his or her family, persons or property.
Signature*

Clear

Registration*

Wild Side Ride Registration

$30.00

Total

$0.00

Credit Card

Apple Pay

Google Pay

Vehicle Information