Soapbox Entry

EVENT DATE: SEPT. 9, 2007

ENTRY DEADLINE: AUG. 31, 2007

A printable form in PDF format is available by clicking here and a copy of our Builder's Manual is available by clicking here.

**PHANTOM SCREENS/OPTIMIST CLUB SOAPBOX DERBY ENTRY FORM**
Name of Parent or Guardian
Address

City
Province
Postal Code
Telephone
Fax
E Mail
Sponsor Name (If Applicable)
Child's Name (one per entry form)
Date of Birth
Care Card #
Car Number (If Any)
Age Level
Sharing a Car
If Yes above - with whom
I agree to the WAIVER below
If sharing a car each child must be in a separate age group. A junior may run in the senior age group but a senior may not run in the junior age group.

WAIVER

I agree to indemnify, hold harmless and defend against any action against the Optimist Club of Abbotsford, and any persons affiliated from and against all liabilities whatsoever arising out of participation in this soapbox derby.

Entry fee $20 per child payable to:

Optimist Club of Abbotsford
P.O. Box 145
Abbotsford, B.C.
V2T 6Z5

For further information, please call
Norman Payne at 604 853 4105

Site design & construction by:
David Morrison

Site hosting courtesy of International Internet Advertising Services of Abbotsford

EVENT DATE: SEPT. 9, 2007

ENTRY DEADLINE: AUG. 31, 2007

If sharing a car each child must be in a separate age group. A junior may run in the senior age group but a senior may not run in the junior age group.

WAIVER

Entry fee $20 per child payable to:

Optimist Club of Abbotsford P.O. Box 145 Abbotsford, B.C. V2T 6Z5

Optimist Club of Abbotsford
P.O. Box 145
Abbotsford, B.C.
V2T 6Z5