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

  
 
*Driver's Name:
Address:
Home Phone:
Driver's Date of Birth:
Driver's Shirt Size:
Race Car Number: (to be assigned at time of registration)
Car Sponsored By:    (if sponsored)
Email Address:   (required)

  • You must be registered and inspected to be eligible to race Saturday July 19, 2008.

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

  • "Time Trials" and Inspections will be 11 am - 1 pm Saturday, July 19, at Race Site.

    Race times: 1-3 pm.

  • 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 19, 2008.

 

SIGNED   X___________________________      SIGNED   X___________________________

PHONE NO___________________________      PHONE NO___________________________

***Pre-Registration Deadline: Friday, July 18, 2008 (See rule #18).

***You can pre-register now by clicking on "Pre-register" above.

**You can also register the day of race at “Time Trials” (see above).   

 

Return this registration and entry form to:

"Snohomish Grand Prix"

Kla Ha Ya Days Festival - Soap Box Derby

POB 1739

Snohomish, WA 98291-1739

 

Sponsored by:

Bickford Ford-Mercury

5500 Bickford Ave

Snohomish, WA 98290
 For more information, rules, or entry forms contact:

· Bickford Ford-Mercury

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

· Neal Kazmi 360-568-7449 race@klahaya.org