Coos Bay Volunteer Application

Contact Information

Name*

First Last

Email*

Phone*

Mailing Address*

Street Address Address Line 2 City State ZIP Code

Personal Information

Are you 18+ years old?*

Yes
No

FILLING OUT THE GUARDIAN INFORMATION BELOW DOES NOT ALSO SIGN UP THE GUARDIAN TO VOLUNTEER. THE GUARDIANS MUST ALSO FILL OUT A SEPARATE APPLICATION!

Guardian's Name*

First Last

Guardian's Phone Number*

Guardian's Email Address*

Is Your Guardian Volunteering As Well?*

Yes
No

Do you have transportation to your shift?*

I have NON-offroad transportation.
I have offroad transportation.
Both

What group are you with?*

Which gate/access point would you prefer?*

Have you volunteered at a UTV Takeover or similar event?

(Please list any locations/dates and what areas you assisted with below)

Tell us a little bit about yourself:*

(Any physical or medical considerations can be listed in the Special Requests section below)

Preferred Coworkers

Is there a particular spouse, friend, or family member you prefer to be working with? (Leave blank if no)
FILLING OUT THIS FIELD DOES NOT SIGN THIS PERSON UP TO VOLUNTEER. THEY MUST FILL OUT THEIR OWN APPLICATION!

Special Requests

Please provide any physical or medical limitations you have.*

Please include any mobility issues, health considerations, and/or limiting factors that would need to be considered when finding a volunteer position that best fits your needs. PLEASE NOTE: Some areas do require the ability to lift 25-50lbs, pound stakes, or ability to walk in the sand for multiple hours, ETC.

Availability

Days I'm Available*

Monday, June 24th (Setup)
Tuesday, June 25th (Setup/Gates Open)
Wednesday, June 26th (Event)
Thursday, June 27th (Event)
Friday, June 28th (Event)
Saturday, June 29th (Event)
Sunday, June 30th (Cleanup)

Hours I'm available to volunteer:*

PICK 2 TIMES

Any Hours
6 AM – Noon
Noon – 5 PM
5 PM – 10 PM
10 PM – Midnight

Scheduling Preference*

Same Shift Time Each Day
Variable Shifts OK

Volunteer Benefits

As a volunteer you will receive a benefits package worth $200! Each volunteer will receive the following (with more details to come):

One Free 2024 UTV Takeover Event T-Shirt
One Free General Admission Wristband
One Free Dry Camping Spot
15 Free General Raffle Tickets
Hourly Donation
25% Off One UTV Takeover Merchandise Item

T-Shirt Size*

PLEASE NOTE: T-Shirts are unisex in size and cut, pre-shrunk and we DO NOT offer exchanges on-site.

Do you need on-site camping?*

One Dry Spot Per Volunteer. If you are a couple/staying with friends please select NO to save space for other volunteers .

Yes
No

Preferred Camping Surface*

Pavement/Hard Pack
Pavement/Hard Pack, but Sand is OK too.
Sand

Do you need early camping access?*

This is for those helping with setup of the event on Monday/Tuesday.

Yes
No

Did you already purchase camping?*

No
Horsfall Campground
North Pod Sand Camping
Off-Site Camping
South Pod Sand Camping
VIP Camping
VIP Sand Camping

Are you sharing a Camping Spot / Trailer with any other volunteers?

Please let us know whom (spouses/ children/friends/etc) you are sharing a camp spot with, comma-separated. Leave blank if none.

Have you already, or were you planning on purchasing a VIP wristband?*

PLEASE NOTE: We do not discount or provide reimbursements to volunteers that have purchased VIP wristbands. If you do purchase a VIP wristband, you are still eligible for a free non-VIP wristband.

Yes
No

Complete Application

Any additional notes, requests or information:

Consent*

I agree to be contacted by UTV Takeover staff.

I agree that the information provided is accurate and is submitted with the intention to attend and volunteer my time to work at the UTV Takeover events. I understand that this is a preliminary sign up and my sign up is not guaranteed.

I understand if I choose the Camping Package I will receive one dry camp spot and if I want to upgrade I must purchase this separately.

I understand I will receive one free general entry and if I would like a VIP wristband, I must purchase this separately.

I understand UTV Takeover is not mandated to reimburse me for my personal camping and/or wristband upgrades.

I agree to be contacted by UTV Takeover staff.

Email

This field is for validation purposes and should be left unchanged.