Skip to content
ABOUT
OUR TEAM
CONTACT US
THE SPIRIT NEWSLETTERS
PROGRAMS
WINTER
SUMMER
VOLUNTEER
INTERNSHIPS
OUR BLOG
EVENTS
CALENDAR
SKI-A-THON
PEAK TO PEAK PEDAL
HELPING HANDS POKER RUN
GET INVOLVED
VOLUNTEER
DONATE
SHOP TO GIVE
VENMO A DONATION
DONATE A VEHICLE
SPONSOR
FUNDRAISE
DONATE
HELPING HANDS POKER RUN REGISTRATION
Helping Hands Poker Run Registration
dev@spikesalesnow.com
2024-03-03T23:23:15+00:00
Discover the Ultimate Off-Road Adventure at USARC’s Helping Hands Poker Run
Please enable JavaScript in your browser to complete this form.
Please enable JavaScript in your browser to complete this form.
Choose the Perfect Option Tailored for You!
DRIVE MY VEHICLE
MAKE SELECTION
DESERT CRUISE COURSE – $60.00
RUGGED RIDE COURSE – $100.00
BOTH COURSES – $130.00
Total
*
$0.00
TAKE A SIDE x SIDE TOUR
MAKE SELECTION
1 Seat on SIDE x SIDE Tour – $80.00
2 Seats on SIDE x SIDE Tour – $160.00
3 Seats on SIDE x SIDE Tour – $240.00
TAKE A JEEP TOUR
MAKE SELECTION
1 Seat on JEEP Tour – $80.00
2 Seats on JEEP Tour – $160.00
3 Seats on JEEP Tour – $240.00
4 Seats on JEEP Tour – $320.00
Next
Driver
Driver Name
*
First
Last
Email
*
Vehicle Type
*
MAKE SELECTION
ATV | Dirt Bike
SIDE x SIDE
4×4 Jeep | 4×4 Truck | 4×4 SUV
Mobile Phone
*
Shirt Size
*
MAKE SELECTION
Men's Small
Men's Medium
Men's Large
Men's XL
Men's XXL
Women's Small
Women's Medium
Women's Large
Women's XL
Women's XXL
Date of Birth
*
MM
1
2
3
4
5
6
7
8
9
10
11
12
DD
1
2
3
4
5
6
7
8
9
10
11
12
13
14
15
16
17
18
19
20
21
22
23
24
25
26
27
28
29
30
31
YYYY
2025
2024
2023
2022
2021
2020
2019
2018
2017
2016
2015
2014
2013
2012
2011
2010
2009
2008
2007
2006
2005
2004
2003
2002
2001
2000
1999
1998
1997
1996
1995
1994
1993
1992
1991
1990
1989
1988
1987
1986
1985
1984
1983
1982
1981
1980
1979
1978
1977
1976
1975
1974
1973
1972
1971
1970
1969
1968
1967
1966
1965
1964
1963
1962
1961
1960
1959
1958
1957
1956
1955
1954
1953
1952
1951
1950
1949
1948
1947
1946
1945
1944
1943
1942
1941
1940
1939
1938
1937
1936
1935
1934
1933
1932
1931
1930
1929
1928
1927
1926
1925
1924
1923
1922
1921
1920
Driver's Emergency Contact Name
*
Emergency Contact's Mobile Phone
*
Previous
Next
Rider #1
Rider #1 Name
*
First
Last
Phone
Email
Date of Birth
*
MM
1
2
3
4
5
6
7
8
9
10
11
12
DD
1
2
3
4
5
6
7
8
9
10
11
12
13
14
15
16
17
18
19
20
21
22
23
24
25
26
27
28
29
30
31
YYYY
2025
2024
2023
2022
2021
2020
2019
2018
2017
2016
2015
2014
2013
2012
2011
2010
2009
2008
2007
2006
2005
2004
2003
2002
2001
2000
1999
1998
1997
1996
1995
1994
1993
1992
1991
1990
1989
1988
1987
1986
1985
1984
1983
1982
1981
1980
1979
1978
1977
1976
1975
1974
1973
1972
1971
1970
1969
1968
1967
1966
1965
1964
1963
1962
1961
1960
1959
1958
1957
1956
1955
1954
1953
1952
1951
1950
1949
1948
1947
1946
1945
1944
1943
1942
1941
1940
1939
1938
1937
1936
1935
1934
1933
1932
1931
1930
1929
1928
1927
1926
1925
1924
1923
1922
1921
1920
Shirt Size
*
MAKE SELECTION
Men's Small
Men's Medium
Men's Large
Men's XL
Men's XXL
Women's Small
Women's Medium
Women's Large
Women's XL
Women's XXL
Rider's Disability
*
MAKE SELECTION
N/A
Acquired Brain Injury
Amputee
Cancer
Cerebral Palsy
Developmental Delay
Hearing Impaired
Muscular Dystrophy
Multiple Sclerosis
Post Polio
Spina Bifida
Spinal Cord Injury
Visual Impairment
Other
Please provide further details about rider's disability.
Emergency contact person.
Rider's Emergency Contact Name
*
This emergency contact applies to all riders.
*
Yes
No
Emergency Contact's Mobile Phone
*
Additional Emergency Contacts
Provide the name and mobile phone numbers for any additional emergency contacts.
Next
Rider #2
Rider #2 Name
First
Last
Phone
Email
Date of Birth
*
MM
1
2
3
4
5
6
7
8
9
10
11
12
DD
1
2
3
4
5
6
7
8
9
10
11
12
13
14
15
16
17
18
19
20
21
22
23
24
25
26
27
28
29
30
31
YYYY
2025
2024
2023
2022
2021
2020
2019
2018
2017
2016
2015
2014
2013
2012
2011
2010
2009
2008
2007
2006
2005
2004
2003
2002
2001
2000
1999
1998
1997
1996
1995
1994
1993
1992
1991
1990
1989
1988
1987
1986
1985
1984
1983
1982
1981
1980
1979
1978
1977
1976
1975
1974
1973
1972
1971
1970
1969
1968
1967
1966
1965
1964
1963
1962
1961
1960
1959
1958
1957
1956
1955
1954
1953
1952
1951
1950
1949
1948
1947
1946
1945
1944
1943
1942
1941
1940
1939
1938
1937
1936
1935
1934
1933
1932
1931
1930
1929
1928
1927
1926
1925
1924
1923
1922
1921
1920
Shirt Size
*
MAKE SELECTION
Men's Small
Men's Medium
Men's Large
Men's XL
Men's XXL
Women's Small
Women's Medium
Women's Large
Women's XL
Women's XXL
Rider's Disability
*
MAKE SELECTION
N/A
Acquired Brain Injury
Amputee
Cancer
Cerebral Palsy
Developmental Delay
Hearing Impaired
Muscular Dystrophy
Multiple Sclerosis
Post Polio
Spina Bifida
Spinal Cord Injury
Visual Impairment
Other
Please provide further details about rider's disability.
Previous
Next
Rider #3
Rider #3 Name
*
First
Last
Phone
Email
Date of Birth
*
MM
1
2
3
4
5
6
7
8
9
10
11
12
DD
1
2
3
4
5
6
7
8
9
10
11
12
13
14
15
16
17
18
19
20
21
22
23
24
25
26
27
28
29
30
31
YYYY
2025
2024
2023
2022
2021
2020
2019
2018
2017
2016
2015
2014
2013
2012
2011
2010
2009
2008
2007
2006
2005
2004
2003
2002
2001
2000
1999
1998
1997
1996
1995
1994
1993
1992
1991
1990
1989
1988
1987
1986
1985
1984
1983
1982
1981
1980
1979
1978
1977
1976
1975
1974
1973
1972
1971
1970
1969
1968
1967
1966
1965
1964
1963
1962
1961
1960
1959
1958
1957
1956
1955
1954
1953
1952
1951
1950
1949
1948
1947
1946
1945
1944
1943
1942
1941
1940
1939
1938
1937
1936
1935
1934
1933
1932
1931
1930
1929
1928
1927
1926
1925
1924
1923
1922
1921
1920
Shirt Size
*
MAKE SELECTION
Men's Small
Men's Medium
Men's Large
Men's XL
Men's XXL
Women's Small
Women's Medium
Women's Large
Women's XL
Women's XXL
Rider's Disability
*
MAKE SELECTION
N/A
Acquired Brain Injury
Amputee
Cancer
Cerebral Palsy
Developmental Delay
Hearing Impaired
Muscular Dystrophy
Multiple Sclerosis
Post Polio
Spina Bifida
Spinal Cord Injury
Visual Impairment
Other
Please provide further details about rider's disability.
Previous
Next
Rider #4
Rider #4 Name
*
First
Last
Phone
Email
Date of Birth
*
MM
1
2
3
4
5
6
7
8
9
10
11
12
DD
1
2
3
4
5
6
7
8
9
10
11
12
13
14
15
16
17
18
19
20
21
22
23
24
25
26
27
28
29
30
31
YYYY
2025
2024
2023
2022
2021
2020
2019
2018
2017
2016
2015
2014
2013
2012
2011
2010
2009
2008
2007
2006
2005
2004
2003
2002
2001
2000
1999
1998
1997
1996
1995
1994
1993
1992
1991
1990
1989
1988
1987
1986
1985
1984
1983
1982
1981
1980
1979
1978
1977
1976
1975
1974
1973
1972
1971
1970
1969
1968
1967
1966
1965
1964
1963
1962
1961
1960
1959
1958
1957
1956
1955
1954
1953
1952
1951
1950
1949
1948
1947
1946
1945
1944
1943
1942
1941
1940
1939
1938
1937
1936
1935
1934
1933
1932
1931
1930
1929
1928
1927
1926
1925
1924
1923
1922
1921
1920
Shirt Size
*
MAKE SELECTION
Men's Small
Men's Medium
Men's Large
Men's XL
Men's XXL
Women's Small
Women's Medium
Women's Large
Women's XL
Women's XXL
Rider's Disability
*
MAKE SELECTION
N/A
Acquired Brain Injury
Amputee
Cancer
Cerebral Palsy
Developmental Delay
Hearing Impaired
Muscular Dystrophy
Multiple Sclerosis
Post Polio
Spina Bifida
Spinal Cord Injury
Visual Impairment
Other
Please provide further details about rider's disability.
Previous
Next
Total
$0.00
Updating preview…
This is a preview of your submission. It has not been submitted yet!
Please take a moment to verify your information. You can also go back to make changes.
Previous
Next
Name As It Appears On Credit Card
*
First
Last
Credit Card Details
*
Please complete all payment details. A receipt will be sent to the purchaser’s email provided above.
Previous
Next
Would you be willing to make an extra donation to help USARC with our outdoor recreational programs?
Extra Donation to USARC – $10.00
Extra Donation to USARC – $25.00
Extra Donation to USARC – $50.00
Extra Donation to USARC – $100.00
Extra Donation to USARC – $250.00
Extra Donation to USARC – $500.00
Extra Donation to USARC – $1,000.00
Extra Donation to USARC – $2,500.00
Extra Donation to USARC – $5,000.00
NO EXTRA DONATION 😞 – $0.00
Previous
SUBMIT REGISTRATION
Close product quick view
×
Title
Page load link
Go to Top