Driver's Name ___________________________________________

Address _________________________________________________

City State Zip___________________________________________

email ___________________________________________________

Phone _______________________________T-Shirt Size________

Emergency Contact ____________________Phone#_____________


Co-Driver's Name ________________________________________

Address _________________________________________________

City State Zip __________________________________________

Phone ________________________________T-Shirt Size_______

Emergency Contact __________________Phone#_______________



One bed or Two at hotel? ______________


Vehicle:

Year _______ Make ______________________________________

Model __________________________________________________

Modifications? _________________________________________

_______________________________________________________

_______________________________________________________



*No Vehicle Substitutions without prior approval


I understand that the Snowball Rally is a motoring tour, not a race, or in any way a speed contest. I also understand that road conditions and weather can be unpredictable, and will adjust my driving accordingly. My vehicle is legal, registered for the road, and covered by liability insurance. (proof of which I must carry during this event) I agree to waive any liability on the part of the Snowball Rally or its organizers, by reason of any injury or damage sustained or incurred by myself or my vehicle. I agree to hold the Snowball Rally and its organizers free and harmless there from. I further agree that my private insurance will be the only insurance available to me.


Driver's Signature _______________________________________

Co-Driver's Signature ____________________________________


Print, fill out, and mail this form with a check for $325 to JEFF GUZAITIS no later than March 31st 2010. $50 late fee applies to entries accepted afterward.


*Refunds available until March 31st, after which entry fees are non-refundable. This event will run rain, shine or even blizzard.


Driver & Navigator- $325_______

Additional T Shirts- $15_______ Size(s)____________

Late Fee(after 3/31) $50_______

Total $_______


Send to:

The Snowball Chalet
4242 Mountain Blvd.
Oakland, Ca. 94619