Register for Jeepin' for CASA

Please note that your $40 minimum donation registration is NON-REFUNDABLE due to participants inability to attend. If you are not sure you can attend you are more than welcome to register on the day of the event!

Pre-Register for Jeepin' for CASA

Please note that after clicking "submit" at the bottom of this form you will be taken to a page to pay your entry fee. Entry fee is a minimum $40 donation to CASA of North Arkansas. Pre-registration is NOT required to participate. Registration will be open starting at 8:00am on the day of the event. Day of registration will gladly be accepted!

* Indicates required field

Name *

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Email *

Phone Number *

State *

City *

Type of vehicle you will be using for Jeepin' for CASA *

Waiver of Liability

In consideration of CASA of North Arkansas accepting this entry, I, as a Jeepin' for CASA participant, intending to be legally bound, waive and release any and all rightst and claims for damages we may have against CASA of North Arkansas and their benefactors, representatives, successors and/or assigns, for any and all injuries suffered by me in the event. Further, I hereby grant full permission to CASA of North Arkansas to use any photographs, video tapes, motion pictures, recordings, and any other record of this event for legitimate purposes.

By selecting "accept" you are accepting the waiver of liability to participate in Jeepin' for CASA *

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Pre-Register for Jeepin' for CASA

Waiver of Liability

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