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 Information:


Year _______ Make ______________________________________


Model __________________________________________________



Modifications? _________________________________________


_______________________________________________________


_______________________________________________________




*Please 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 2013. $50 late fee may apply to entries accepted afterward.


*Refunds available until March 31st, after which entry fees are non-refundable. This event will run rain, shine, or possibly even a blizzard. We reserve the right to alter the route at any time.


Driver & Navigator- $325_______

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

Late Fee(after 3/31) $50_______

Total $_______

Send to:

The Snowball Chalet

1320 Griffith St.

San Francisco, Ca. 94124