Driver's Name ___________________________________________
City State Zip___________________________________________
Phone _______________________________T-Shirt Size________
Emergency Contact ____________________Phone#_____________
Co-Driver's Name ________________________________________
City State Zip __________________________________________
Phone ________________________________T-Shirt Size_______
Emergency Contact __________________Phone#_______________
One bed or Two at hotel? ______________
Year _______ Make ______________________________________
*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_______
The Snowball Chalet
1320 Griffith St.
San Francisco, Ca. 94124