Greater Los Angeles Soap Box
Derby Race
Race Day, May 30, 2009
SOAP BOX DERBY ENTRY
FORM
Print this form,
complete it, and mail it to
the address provided along with a check for $45 for each
entrant. If registering more than one child, photocopy
the registration form and submit a separate copy for each
entrant. Racers must present a photo copy of their
birth certificate at sign-in Friday, May 29, 2009.
RACER:________________________________________________________________
HANDLER:_____________________________________________________________
ADDRESS:_____________________________________________________________
CITY, STATE, ZIP:
______________________________________________________
PHONE:
(_____) _________________ SCHOOL ATTENDED:
___________________
DATE OF BIRTH:
_________________ AGE: ________
EMAIL ADDRESS :
___________________________
DIVISION: ___
STOCK -
Participants must be 8 years old by RACE DAY and must
not turn age 14 in the current race year.
___ SUPER STOCK -
Participants must be 10 years old by RACE DAY and must
not turn age 18 in the current race year.
T-shirt Size:
__________________________ (S/M/L)
$45 per entrant.
MAKES CHECKS PAYABLE TO: LCKFSBD (La Caņada Kiwanis
Foundation Soap Box Derby)
MAIL
TO: LCKFSBD (La Caņada Kiwanis Foundation
Soap Box Derby)
P.O. Box 33
La Caņada Flintridge, CA 91011 |