Individual Registration

Please enter information in the form below to process registration for: Springfield, IL April 16 - 17 2021.

Existing user? Please login

New User? Please register

Username*

Password*

Retype password*

First Name *

Last Name *

Address *

Address 2

City *

Zip *

Country *

State *

Phone *

Email *

Comment

Emergency Contact

Emergency Contact Phone

Is this a gift?

Yes

Gift Sign-up Recipient

RIDING EXPERIENCE

Have you previously attended Supercamp?

Yes

If so, when/where

Riding Experience

PHYSICAL INFORMATION

Your Height

Approx. Weight

Age

Gender

Male

Female

RIDING GEAR

We have all the gear you'll need in sizes ranging from S-XXL.

Gear Selection

I will need to use Supercamp gear.

Payment Information

Coupon Code

Amount

Discount amount

Gross amount

Payment method *

Credit Card Pay By Check

Billing Zipcode*

Credit Card Number*

Expiration Date*

Card (CVV) Code*

Card Type*

Card Holder Name*