Honor Flight UTV Ride Sign Up Form

Nevada Elks Lodge and the local Dirt Pack UTV ride group is proud to host a UTV ride for Honor Flight! The ride is scheduled for September 19th, 2026. Riders will meet at the Nevada Elks Lodge located at 510 N Centennial Blvd. Registration will begin at 0800 and end at 1000. The ride will start at 1030 from the Elk's parking lot.

First Name *
Last Name *
Address *
City *
State *
Phone Number. *
Email Address *
Confirm email
Please select from the drop down box, what items you would like to purchase.	1 Buggy/1 Poker Hand($40) Additional Poker Hand ($10) Ride Shirts($20) Sz 2XL & up are ($25)**SHIRT AVAILIBILITY LIMITED AFTER 8/14**
Please list all shirt sizes and amounts in the box. Shirts are $20 a piece or $25 for 2XL and up. **SHIRT AVAILIBILITY LIMITED AFTER 8/14** *
*	The deadline for guaranteed shirts is August 14th. If you are signing up after 8/14, availability will vary depending on amounts/sizes. Please check that you understand this.
Please total costs for all of your items and list total in the box. *
We have multiple payment options. Please select how you would like to pay for your selections. Our Venmo and Paypal info is listed at the bottom of the form. *	Cash(Day of at Check-In) Venmo Paypal
Please Sign *	Clear
Please Select Date *

Payment Options Paypal: paypal.me/Dirtpacknevadamo Venmo: @dirt-pack, verification number 5421