Kla Ha Ya Days Festival
“Snohomish Grand Prix”
 SOAP BOX DERBY RACE

  
 
*Driver's Name:
Driver's Age:             T-shirt size:
Mailing Address:
Contact  Phone Num:
Car Sponsored By:    (if sponsored)
Email Address:   (required)

  • Race times subject to change. Check with contacts below for latest details.

  • "Time Trials" and Inspections will be Saturday, July 17 at 11:00am.

  • Entry fees ($20 per driver) due at completion of inspection.

             (you will still sign the LIABILITY WAIVER }

**LIABILITY WAIVER**

The below named parents and/or guardians of the above named *Driver hereby assume all responsibility for any and all damage or injury caused by or resulting from any accident or action while taking part in the "Snohomish Grand Prix" race and time trials during the Kla Ha Ya Days Festival celebration on July 17, 2010.

 

SIGNED   X___________________________      SIGNED   X___________________________

 (Printed)     ___________________________      (Printed)     ___________________________

Phone Num ___________________________      Phone Num___________________________

* Driver and crew behavior *

I accept full responsibility for my own actions and the behavior of my pit crew (including parents).

SIGNED BY DRIVER _________________________________________________________

 

Return this rentry form to:

"Snohomish Grand Prix"

c/o Neal Kazmi

POB 241

Snohomish, WA 98291-1739

 

Sponsored by:

Best Buy

Everett
 For more information, rules, or entry forms contact:

· Kla Ha Ya Days Festival web site (www.klahayadays.com)

· Neal Kazmi 360-568-7449   neal@minisoft.com