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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#______________
Vehicle:
Year _______ Make ______________________________________
Model __________________________________________________
Modifications? _________________________________________
_______________________________________________________
_______________________________________________________
*No Vehicle Substitutions without prior approval
I understand that the Snowball Rally is 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 $320 to Jeff Guzaitis no later than March 15th 2008. $50 late fee
applies to entries received afterward.
*Refunds available until March 31st, after which entry fees are non-refundable. This event will run rain or shine.
Driver & Navigator-$320_______
Additional T Shirts-$15_______
Late Fee-$50_______
Total-_______
Send to:
The Snowball Chalet
4242 Mountain Blvd.
Oakland, Ca. 94619
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