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Registration Forms Instructions You must use Adobe Acrobat Reader to type out the Registration Form. Download it to your computer at http://get.adobe.com/reader it is free. You cannot use the default reader (e.g., Preview) on your computer if it is not Adobe Acrobat Reader. It does not work.
You must save the Registration Form to your computer first. Then open the saved copy and type in your information and chosen activities. Prices will auto insert per the quantity selected.
There are 2 requirements to attend the convention. You must be a MAFCA member and everyone listed on the registration form must sign and date the MAFCA Waiver, Indemnification Release, and adults also sign page 1. You can join MAFCA by clicking the box next to the type of membership you select. The 2018 MAFCA National Convention Registration Form is available here as a Portable Document File (PDF). Download and save the PDF to your computer. You must open the form using Adobe Reader https://get.adobe.com/reader and type it out on your computer. Simply click on the Yes & No boxes on page 1 and a check mark will appear. The Hubley Derby, Swap Meet and Fashion Boutique have supplementary pages to fill out and information will automatically be entered in the appropriate spaces on pages 2 – 4. A sales tax deposit for the State of Nevada is required for the Swap Meet and Era Fashion Boutique. Your selections of Convention Merchandise on pages 8 and 9 will automatically total and be entered on page 4. If you opt for one of the Fallon Naval Air Station Bus Tours, fill out page 11 with the personal information required by the Navy.
1. When you have filled out the Registration Form and attachments, please email a copy to the Registrar at [email protected] with MAFCA Registration in the subject line so we’ll have an electronic copy.
2. Then print all the appropriate pages and sign page 1 of the Registration Form and all those attending must sign the MAFCA Waiver, Indemnification Release Agreement on page 5.
3. Mail by USPS the completed and signed Registration Form and attachments, the signed MAFCA Waiver, and a check for the Grand Total on page 4 to
Registrar 9618 Cherry Ridge Rd. Sebastopol, CA. 95472
02/24/2018
4. If you don’t use a computer, you may fill out a printed version of the form by hand. Please print clearly, sign the Registration Form and the MAFCA Waiver and mail the Registration Form and attachments to Registrar at the address above.
5. Please don't hand-fill the form unless you absolutely must. All hand-filled forms must be retyped by the Registrar once they are received. You can help speed the process by typing in the information needed on the Registration Form. Perhaps a friend can do it for you.
6. For emergency purposes you must supply contact information for an emergency contact person. That person must not be someone attending the convention. That information should be entered at the bottom of pages 1 and 5.
As tours reach maximum capacity we will post updates on our website.
http://www.ncrgmafca.com/2018MAFCAConvention/2018index.html
02/24/2018
MAFCA NATIONAL CONVENTION JUNE 24 - 29, 2018 Hosted by the Northern California Regional Group (NCRG)
Nugget Casino Resort 1100 Nugget Avenue, Sparks, Nevada 800-843-2427 Use GMODEL code for the MAFCA $79 rate
Last Name __________________________First ______________________________Cell _________________________
Last Name __________________________First ______________________________Cell _________________________
Home Phone ________________Email (s) _________________________________________________________________
Youth - Names & Ages _________________________________________ Will you be a Youth Assistant? Yes ____ No ____
Address ____________________________ ______City _______________________________________________________
State/Province _______________________Country __________________________ Zip/Postal Code ________________
MAFCA Chapter ________________________________________________________ MAFCA Membership # __________
Are you bringing a Model A? Yes ___ No ___ Body Style _______________ Year ______ License # _________State ____
Will you need tow vehicle & trailer parking? Yes ____ No ____ RV Parking & Information? Yes _____ No _____
Will your Model A be entered in Car Judging. Yes ___ No ____
Do you want to be a Car Judge? Yes ___ No ___ Name _____________________________________________
Additional Judge? Yes ____ No ____ Name ______________________________________
Do you want your Model A Evaluated in the Restorer Class? Yes ____ No ____
Would you like to be an Evaluator? Yes ____ No ____
Do you want to be a Fashion Judging Entrant? Yes ___ No ___ Name _________________________________________
Additional Fashion Judging Entrant? Yes ____ No ____ Name:________________________________________
If you are a MAFCA Fashion Judge, do you want to judge fashions? Yes ___ No ___ Name ________________________
Additional MAFCA Fashion Judge: Name _________________________________
Do you want to participate in the "For Love of Era Fashions" Show at the Awards Tea? Yes ____ No ____
Names ______________________________________________________________
Do you want to sell at the Era Fashion Boutique? Yes ____ No ____
Do you want to sell at the Parts Swap Meet? Yes ____ No ____
Do you want to compete in the Hubley Derby? Yes ____ No ____
Signed __________________________________________________________ Date _____________________
All adults please sign
Signed __________________________________________________________ Date _____________________ Page 1
02/24/2018
General Registration As tours reach maximum capacity we will post updates on our website Fee TotalPostmarked Before May 1 Registration Fees are Per Family $ Postmarked after May 1 Registration Fees are Per Family $
All registrants must be MAFCA members. If not pay appropriate dues here.
MAFCA Dues - USA $50 ; Canada & Mexico $60 ; International $68 or $50 online only $ Day/Time Activity - The Activity Fees & Meals listed are Per Person Quantity Saturday June 23 - Pre Convention
2:00-4:00 PM Registration - Merchandise Pick Up - Banquet Seating
4:00-10:00 PM Pre-Convention Bus Tour & Lake Tahoe Dinner Cruise (MAX 230 People) $12:00-5:00 PM Repair Tent - Tools & Space
Sunday June 24
9:00-6:00 PM Registration - Merchandise Pick Up - Banquet Seating
12:00-4:00 PM Hospitality - Pick A Prize - Self Guided Tours Information
12:00-1:00 PM Vehicle Judging Participants Meeting
1:30-2:30 PM Tool Check In
2:30-5:30 PM Tool Judging
6:00-6:30 PM Judged Tools pick up
1:00-4:00 PM Swap Meet set up - Member Seller Fee per space - Complete Page 9 $ 2:00-3:00 PM Fashion Entrants Meeting
3:30-4:30 PM Fashion Judges Meeting
5:30-9:00 PM Welcome Party Social & All You Can Eat Pasta Buffet $ 8:00-5:00 PM Repair Tent - Tools & Space
Monday June 25
8:00-5:00 PM Registration - Merchandise Pick Up - Banquet Seating 8:00-4:00 PM Hospitality - Pick A Prize - Self Guided Tours Information
8:00-5:00 PM Parts Swap Meet 7:30-8:30 AM
#1 Seminar - Hubley Speed Shop Seminar
$
10:30A-12:00P #2 Seminar - Model A Brakes & Pedal Adjustment
$9:00-10:00AM
#3 Seminar - Do It Right using the Guidelines to restore and buy parts
$ 1:30-3:00 PM #4 Seminar - Model A Electrical Wiring & Troubleshooting $10:00-2:00 PM Head to Toe Fashion Expo, Seminars & Boutique $10:00-2:00 PM Head to Toe Fashion Expo & Boutique Seller Fee - Complete Page 9 $3:00-4:30 PM Queen of Hearts - Styles of the Era Fashion Show $3:00-5:00 PM Vehicle Judging - Start & Idle, Photos, Mandatory Tour & Staging
4:00-5:00 PM Restorer's Class Seminar $8:00-5:00 PM Repair Tent - Tools & Space
Sub Total $
Page 2
02/24/2018
Day/Time Activity Fee QuantityTotal
Tuesday June 26
8:00-4:00 PM Registration - Merchandise Pick Up - Banquet Seating
8:00-4:00 PM Hospitality - Pick A Prize - Self Guided Tours Information
7:00-8:30 AM Vehicle Judges Breakfast Invitation
7:00-8:30 AM Fashion Judges Breakfast Invitation
8:00-5:00 PM Parts Swap Meet
9:00-4:00 PM Bus Tour - Lake Tahoe Cruise $9:00-5:00 PM Fashion Judging (Must register before June 8, 2018) $9:00-4:00 PM Vehicle Judging (Must register by May 1, 2018) $9:00-4:00 PM Restorer's Class Evaluation is a no cost event
6:00-8:00 PM Judged Vehicle Viewing
8:00-5:00 PM Repair Tent - Tools & Space
Wednesday June 27 8:00-4:00 PM Hospitality - Pick A Prize - Self Guided Tour Information
8:00-5:00 PM Parts Swap Meet
9:00-4:00 PM Bus Tour - Fallon Naval Air Station & Lunch at the Officers Cafeteria $ The Personal ID Form on Page 10 is Required
9:00-4:00 PM Restorer's Class Evaluation is a no cost event
2:00-5:00 PM Fashion Tea & Awards $
5:30-6:30 PM Hubley - Check in
7:00-9:00 PM Hubley Derby - Complete form on Page 11 & enter number of cars registered $
(Must register for Hubley Derby by May 1, 2018)
8:00-5:00 PM Repair Tent - Tools & Space
Thursday June 28
Closed all Day Hospitality - Self Guided Tours Information
7:30-4:00 PM Grand Tour - price is per person and includes lunch and entertainment $
Box Lunch: Ham ______ Turkey ______ Roast Beef ______
Special Needs ______
8:00-5:00 PM Repair Tent - Tools & Space
Sub Total $Page 3
02/24/2018
Day/Time Activity Fee Quantity TotalFriday June 29
8:00-12:00 PM Hospitality - Self Guided Tours Information
8:00-4:00 PM MAFCA Board of Directors Meeting
8:00-12:00 PM Gymkhana (price is per driver) $ 8:00-10:00 AM SIG 400-A
10:00-12:00 PM SIG (Special Interest Group) Deluxe Tudor
9:00-3:00 PM SIG - To be determined
9:00-3:00 PM SIG - To be determined
9:00-3:00 PM SIG - To be determined
9:00-3:00 PM Bus Tour - Fallon Naval Air Station & Lunch at the Officers Cafeteria $The Personal ID Form on Page 10 is Required
9:00-3:00 PM Bus Tour - Truckee, Lake Tahoe & Ehrman Mansion $Box Lunch: Ham _____ Turkey ______ Roast beef ______
Special Needs ______ 2:00-4:00 PM Pick A Prize - Pick Up
5:00-9:00 PM Nugget Hosted Social Hour & Awards Banquet
Tournedos of Beef with Cabernet Demi-glace $ Breast of Chicken with Champagne Dill Cream $ Vegetable Wellington with Marinara Sauce $
8:00-5:00 PM Repair Tent - Tools & SpaceSaturday June 30 Repair Tent as needed Sub Total Page 4 $
Sub Total Page 3 $Sub Total Page 2 $
Convention Merchandise attach Pages 6 & 7 (Order by May 1, 2018) Total Page 7 $The State of Nevada taxes sales and $50 deposit is required.
Swap Meet Sales Tax Deposit and/or Fashion Boutique Sales
Tax Deposit pages 8 & 9 - Attach Page 9 $ 50 $Please Note Do you have Special Dietary Needs? Yes _____ No _____
Do you have Special Mobility Needs? Yes _____ No _____
If Yes to either, you will be contacted by the appropriate Committee. US & International residents, make checks payable in US funds to 2018 MAFCA National Convention.
Mail payment with signed registration form, signed MAFCA waiver (Page 5) and appropriate additional forms to:
Registrar, 9618 Cherry Ridge Rd., Sebastopol, CA. 95472Registrars: Steve & Judy Lewis 707-829-9007 or [email protected]
Grand Total $Registration cancelations and requests for refunds after May 1, 2018 will be determined on a case by case basis
Page 4
02/24/2018
MODEL A FORD CLUB OF AMERICA WAIVER, INDEMNIFICATION RELEASE AGREEMENT
Waiver and Release Property of the Model A Ford Club of America Rev 05/08/13
IN CONSIDERATION OF BEING PERMITTED TO VOLUNTARILY PARTICIPATE (AT MY REQUEST) IN THE EVENT OF MODEL A FORD CLUB OF AMERICA (“MAFCA”), ITS CHAPTERS, REGIONS AND/OR SPECIAL INTEREST GROUPS REFERRED TO BELOW (“EVENT”), THE UNDERSIGNED AGREE(S) TO THE FOLLOWING:
1. THE UNDERSIGNED HEREBY RELEASES, WAIVES, DISCHARGES AND COVENANTS NOT TO SUE MAFCA, ITS CHAPTERS, REGIONS OR SPECIAL INTEREST GROUPS, THEIR EMPLOYEES, OFFICERS AND AGENTS (“Releasees”) from all liability to the undersigned, his or her or their personal representatives, assigns, heirs, family members and next of kin (“Releasors”) for any loss, damage, or claim therefor on account of injury to the person or property of the Releasors, whether caused by any negligent act or omission or other fault of the Releasees or otherwise while the undersigned is participating in the Event or using any of Releasees’ facilities in connection with the Event.
2. THE RELEASORS HEREBY AGREE TO INDEMNIFY AND HOLD HARMLESS the Releasees from all liability, claims, demands, causes of action, charges, expenses, and attorney fees and all other costs resulting from involvement in the Event whether caused by any negligent act or omission or other fault of the Releasees or otherwise.
3. THE RELEASORS HEREBY ASSUME FULL RESPONSIBILITY FOR AND RISK OF PERSONAL OR BODILY INJURY, DEATH OR PROPERTY DAMAGE while upon Releasee property or participating in the Event or using any Releasee facilities and/or equipment whether caused by any negligent act or omission or other fault of Releasees or otherwise. The Releasors expressly agree that the foregoing release and waiver, indemnity agreement and assumption of risk are intended to be and shall be interpreted and applied as broad and inclusive as permitted by applicable law.
I ACKNOWLEDGE THAT I HAVE READ THE FOREGOING, THAT I AM VOLUNTARILY ENTERING INTO THIS AGREEMENT AND THAT I AM AWARE OF THE LEGAL CONSEQUENCES OF THIS AGREEMENT, including that it prevents me, my personal representatives, assigns, heirs, family members and next of kin from suing the Releasees if I am injured or damaged for any reason as a result of participation in the Event.
IF THE PARTICIPANT IS A MINOR, HIS OR HER CUSTODIAL PARENT OR LEGAL GUARDIAN MUST READ AND EXECUTE THIS AGREEMENT WHERE INDICATED BELOW. I hereby warrant and represent that I am the legal guardian or custodial parent of the minor named below, who is a minor, and agree, on my own and said minor’s behalf to the terms and conditions of the foregoing agreement.
I understand that I may talk to my legal advisor about this agreement and I have either done so or chosen not to. I understand that I have the right and have been given the opportunity to object to and bargain about the provisions of this agreement. I am voluntarily signing this agreement and intend it to be the unconditional release of all liability to the greatest extent allowed by applicable law.
BEFORE SIGNING, I HAVE CAREFULLY READ THIS ENTIRE AGREEMENT: If any accident, injury, death or damage to personal property occurs, you (by signing this agreement) will be giving up certain legal rights. If any part of this agreement is held invalid, the rest of the provisions shall remain in effect. If you do not understand anything in this agreement, you should not sign it and you should instead consult your legal advisor. Date: Date: Adult Participant Signature Minor Participant Signature Adult Participant Name (Printed) Minor Participant Name (Printed) Date: Date: Adult Participant Signature Parent/Guardian Signature Adult Participant Name (Printed) Parent/Guardian Signature (Printed)
Event: _______________________________ Date(s): ____________ Registration Number:________________
02/24/2018
2018ConventionMerchandiseOrderForm
Size Quantity Price Total
CapColor:Khakionly-EmbroideredLogo FitsAll _____ $_________
TourPatch Twopatchesareincludedinyourregistrationpacket _____ $_________
Zip-UpSweatshirt PortandCompanybrand Small _____ $_________Medium _____ $_________
finish,metalzipper Large _____ $_________EmbroideredLogoonleftchest X-Large _____ $_________Color:Redonly 2XL _____ $_________
3XL _____ $_________4XL _____ $_________
PoloShirt Men'sSizes CBlue StonePortAuthoritybrandStainResistant, ____ ____ X-Small _____ $_________5.6oz.,60/40cotton/poly,3-button ____ ____ Small _____ $_________placket,openhemsleeves. ____ ____ Medium _____ $_________
____ ____ Large _____ $_________EmbroideredLogoonleftchest ____ ____ X-Large _____ $_________
____ ____ 2XL _____ $_________CeladonBlue Colors:CeladonBlueorStone ____ ____ 3XL _____ $_________
____ ____ 4XL _____ $_________
Women'sSizes(relaxedfit) ____ ____ X-Small _____ $_________Descriptionsameasmen's ____ ____ Small _____ $_________
____ ____ Medium _____ $_________EmbroideredLogoonleftchest ____ ____ Large _____ $_________
____ ____ X-Large _____ $_________Stone Colors:CeladonBlueorStone ____ ____ 2XL _____ $_________
____ ____ 3XL _____ $_____________ ____ 4XL _____ $_________
LongSleeved Men'sSizes Red StoneEasyCareShirt PortAuthoritybrand-55/45cotton/ ____ ____ X-Small _____ $_________
poly,button-downcollar,patch ____ ____ Small _____ $_________pocket,backpleat. ____ ____ Medium _____ $_________EmbroideredLogoonleftchest ____ ____ Large _____ $_________
____ ____ X-Large _____ $_____________ ____ 2XL _____. $_________
Color:RedorStone ____ ____ 3XL _____ $_________Stone ____ ____ 4XL _____ $_________
Registrant'sName Page1Subtotal Ϸ
________________________________________________________ Regis.#________ Transfertop.2
FOROFFICEUSEONLY
OrderyourConventionMerchandiseinAdvance!Limitedquantitiesandselectionwillbeavailableattheconvention
AdultSizesonly(seechart-womenorderaccordingly)
7.8oz.,50/50cotton/polyfleece,pillresistant
Item
**Forshirtsthatcomeintwocolors,placethenumberwantedforeachcolorthentotalupthenumberandentertotalunderquantity.
02/24/2018
Size Quantity Price TotalLongSleeved Women'sSizes Red Stone
EasyCareShirt ____ ____ X-Small _____ $_________PortAuthoritybrand-55/45cotton/ ____ ____ Small _____ $_________poly,traditionalrelaxedlook, ____ ____ Medium _____ $_________opencollar,nopocket ____ ____ Large _____ $_________EmbroideredLogoonleftchest ____ ____ X-Large _____ $_________
____ ____ 2XL _____ $_________Color:RedorStone ____ ____ 3XL _____ $_________
Red ____ ____ 4XL _____ $_________
UnisexT-Shirt NOPocket ABlue SandPortandCompanybrand ____ ____ X-Small _____ $_________6.1oz.,100%softspuncotton ____ ____ Small _____ $_________AdultSizing-Seechartbelow ____ ____ Medium _____ $_________
____ ____ Large _____ $_________SilkScreenedLogoonleftchest ____ ____ X-Large _____ $_________
Sand ____ ____ 2XL _____ $_________Colors:AquaticBlueorSand ____ ____ 3XL _____ $_________
____ ____ 4XL _____ $_________
YouthT-Shirt-NoPocket ____ ____ Small _____ $_________Pre-OrdersONLY ____ ____ Medium _____ $_________SilkScreenedLogoonleftchest ____ ____ Large _____ $_________
AquaticBlue Colors:AquaticBlueorSand ____ ____ X-Large _____ $_________
LadiesSizingV-neckT-Shirt ____ X-Small _____ $_________PortandCompanybrand ____ Small _____ $_________4.5oz.,65/35poly/cotton, ____ Medium _____ $_________countouredfit ____ Large _____ $_________SilkScreenedLogoonleftchest ____ X-Large _____ $_________
____ 2XL _____ $_________Color:AquaticBlueonly ____ 3XL _____ $_________
LadiesV-Neck ____ 4XL _____ $_________
Qty.Total Page2 $Subtotal
Page1 $Subtotal
Merchandise $TOTAL(TransfertoRegistrationForm,pg.4)
Registrant'sNameandPhone#
_____________________________________________________Regis.#________
Qty:_______
PickUpInitials ___________
FOROFFICEUSEONLY
Item
SizingInformation:PleaseNote--AdultSizesareMen'sandUnisexADULTSIZES XS S M L XL 2XL 3XL 4XLCHEST 32-34 35-37 38-40 41-43 44-46 47-49 50-53 54-57WAIST 26-28 29-31 32-34 35-37 38-40 41-43 44-47 48-51
LADIESSIZES XS S M L XL XXL 3XL 4XLBUST 32-34 35-36 37-38 39-41 42-44 45-47 48-51 52-55WAIST 24-26 27-28 29-30 31-33 34-36 37-39 40-43 44-47
YOUTHSIZES S M L XLSIZE 6/8 10/12 14/16 18/20CHEST 26-28 28-30 30-32 32-34
§ Merchandisewillbeavailableforpickupatregistration.§ MerchandiseordersMUSTbereceivednolaterthanMay1,2018.§ Colorsshownontheorderformmaybeslightlydifferentfromtheactualproduct.
02/24/2018
Swap Meet Nevada Sales Tax Deposit
Form A fashion and parts swap meet will be available during the 2018 MAFCA National Convention. The fashion swap meet will be held indoors at the Nugget Casino Resort on Monday and the parts swap will be held both inside the Nugget Casino Resort and outside in the Northwest area of the parking lot on Monday through Wednesday. The size of the spaces will be about 20’ x 20’ indoors and outdoors.
We have been notified by the State of Nevada that sales tax will be due on ALL sales by ALL vendors, both parts and fashions. The only exception is if the purchaser takes possession of the item outside of Nevada for items like a rebuilt engine or an overdrive. Otherwise all sales are considered taxable by the State. The State holds the Convention responsible for collecting the sales taxes.
The procedure required by the State is that we have to obtain the information below from each vendor 30 days before the event. This information is sent to the State and they return a form to us for each vendor which he/she will use to declare their gross sales and the sales tax due (8.265%). You should be aware that their vendor’s form asks for your Social Security Number (SSN) or Employer Identification Number (EIN). We will collect each vendor’s completed and signed form and sales tax due amount and return a summary report and payments to the State along with a copy of each vendor’s signed declaration form.
To insure all vendors follow the procedure we are requiring that a $50 sales tax deposit be paid by all vendors 30 days prior to the Convention. At the conclusion of the event or when the vendor elects to close up shop, he/she must return the Nevada sales tax form and pay any additional sales taxes above the $50 deposit. If their sales taxes are less that the $50 deposit, we will refund the difference.
If you have questions regarding either the fashion or parts swap meet contact these people.
Issue/Event Contact Person Phone Number Email Address
Fashion Swap Meet Lynette Marcione 530-306-9306 [email protected] Parts Swap Meet & Parts Vendors
Tom Rut 209-951-5020 [email protected]
Nevada Sales Tax Procedures
Al Stoll 530-878-2950 [email protected]
02/24/2018
Sales Tax Deposit and Swap Meet Space Fees
FASHION AND PARTS SWAP MEET REQUIRED RESERVATION INFORMATION
(Return this portion of the page with your convention registration form.) I wish to reserve ______ space(s) at the Fashion swap meet ( /space) $________
I wish to reserve ______ space(s) at the Parts swap meet ( /space) $_________
Nevada sales tax deposit $ Total (Enter on page 4 of registration form) $__________ Your Information Required Your Responses Personal Name or Business Name Phone Street Address City, State, ZipEmail Address Nevada Tax ID (if any)
02/24/2018
FALLON NAVAL AIR STATION TOUR - REQUIRED BY U.S. GOVERNMENT If you signed up for the bus tour to Fallon Naval Air Station, they will perform a background check on all visitors, including children, before allowing them on the base. The personal information they require from each visitor is listed below and unless we receive the information from you with the registration form, you will not be allowed on this tour. The Naval Air Station has also informed us that they reserve the right to cancel one or all of the tours during a national emergency or any other critical situation that they deem necessary without any penalty or recourse by us.
Please Print Clearly; Information Must Be Accurate for You to Enter the Base. They will check ID’s at the check-in point.
Make a copy if there are more than 2 in your family
NAME ____________________________________________________________________________________ LAST FIRST MIDDLE DATE OF BIRTH______________________________________________________________________________ (month, day, year) LAST FOUR DIGITS OF SSN_____________________________________________________________________ (If under age of 18, SSN not required)
INTERNATIONAL GUEST - add the following information PASSPORT NUMBER__________________________________________________________________________ COUNTRY NATIONALITY_______________________________________________________________________________ *******************************************************************************************
NAME ____________________________________________________________________________________ LAST FIRST MIDDLE DATE OF BIRTH______________________________________________________________________________ (month, day, year) LAST FOUR DIGITS OF SSN_____________________________________________________________________ (If under age of 18, SSN not required) INTERNATIONAL GUEST - add the following information PASSPORT NUMBER__________________________________________________________________________ COUNTRY NATIONALITY_______________________________________________________________________________
02/24/2018
HUBLEY DERBY REGISTRATION
Hubley Derby is Wednesday June 27, 2018. Check In is 5:30-6:30PM Races are 7:00 -9:00PM
PRE-REGISTRATION IS REQUIRED No late registrations will be accepted at the check-in table.
Standard Cars: Stock car will weigh max of 21oz(1.5lb) with original wheels,
frame, axle screws, DRY lubrication only.
Modified cars must not intrude on other lanes and fit in the start gate.
Registration name in full:
Please provide a first name of the person who is the car's racer.
CLASS CAR #1 NAME CAR #2 NAME CAR #3 NAME # CARS FEE TOTAL Youth Under 10 Youth 10-17 Adult 18 and over
Modified entrants will use the same frame and be the same weight 21oz(1.5lb) as the standard hubley car. Tires, wheels and axels DO Not need to be original. NO LIQUID Lubricants. Car must run by gravity.
Modified cars must not intrude on other lanes and fit in the start gate
Modified
HUBLEY TOTAL
02/24/2018
