2017 Chapter Road-E-O Registration - SWANA

May 10, 2017
SWANA-Georgia Chapter
Landfill Equipment,
Truck & Mechanic
Road-E-O
Athens, GA
Georgia Square Mall
Parking Lot &
Athens-Clarke County
Landfill
Event lodging has been arranged at the
Hotel Indigo Athens, GA.
Call (866) 808-1483 to reserve your room by
May 3.
Ask for the SWANA-GA block room rate of
$119 + $10 parking, per night.
*Rooms are limited. First come, first served*
This year we are also partnering with the
American Public Works Association (APWA)
and have added a backhoe competition for the
APWA participants.
Want to Sponsor?
Check out sponsorship opportunities at
www.gaswana.org.
SCHEDULE
Tuesday, May 9
6:00 pm
*Hotel Indigo
Evening Reception - Heavy Appetizers
Wednesday, May 10
7:30 am
*Equipment Category Participants should report
!
to the ACC Landfill.
*Truck Category Participants should report to the
!
Georgia Square Mall Parking Lot.
*Mechanic Category Participants should report
!
to the Georgia Square Mall Parking Lot.
Registration - Breakfast Biscuit & Coffee
8:00 am Written Test!
12 noon - Lunch at the ACC Landfill
(Participants at the Georgia Square Mall will be
shuttled back to the ACC Landfill)
Following the conclusion of competition, an
Award Ceremony will be held at the ACC Landfill.
EQUIPMENT CATEGORY EVENTS
-Off Road Truck
-Dozer
-Rubber Tire Loader
-Track Hoe
-Back Hoe (APWA only)
TRUCK CATEGORY EVENTS
-Automated Truck
-Residential Rear Loader
-Commercial Front Loader
-Tractor Trailer
-Roll-Off
MECHANIC CATEGORY EVENT
-All-in-One Equipment/Trucks
Please note:
*If fewer than three people register for a category,
participants will be asked to choose a different one in
which to compete.
*If a participant wins in more than one event -- and
moves on to the International event -- he/she must
choose to compete in only one event at the higher
level. SWANA-Georgia will sponsor competitors who
qualify for the International Road-E-O, but retains the
right to make all travel arrangements, including, but
not limited to: registration fees, hotel, etc. A set per
diem will be allowed for meals for these competitors.
Directions to Hotel Indigo:
indigoathens.com/hotel-near-uga/directions
Directions to ACC Landfill 5700 Lexington Rd, Winterville, GA:
From Hotel Indigo, take North Ave, take a right to merge onto Inner Loop 10 / US-129 S / US-441. Keep
right or Exit 10C Watkinsville/Lexington. In 2.5 Miles Take Exit 8 onto Oconee Street/Lexington Road Take
a right onto Lexington Road. In approximately 5 miles, take a left onto Landfill Road.
Directions to Georgia Square Mall Parking Lot - 3700 Atlanta Hwy Athens, GA:
From Hotel Indigo, take W. Dougherty and Prince Ave. to Outer Loop 10 / US-129 S. Continue on Loop 10
for 3 miles, then take Exit 18 Atlanta Highway/Monroe. Keep to far right lane to continue into Georgia
Square Mall Access Road. Mall parking lot will be on your left.
For more information contact:
Stephanie Hubbard
[email protected]
(770) 822-9308
Suki Janssen
[email protected]
(706) 247-5386
SPONSORSHIP REGISTRATION
IN KIND & EQUIPMENT DONORS
!
*LOGO (must be provided by April 21) printed in one color on back of Event T-Shirt
!
*Name Recognition on General Signage/Chapter Website
GOLD SPONSOR ($1000)!
!
*Exclusive Signage During Lunch & Table Space to Display Organization Material
!
*LOGO (must be provided by April 21) will be printed in one color on a sticker,
!
and sticker will be placed for one year on the new, SWANA ROAD-E-O trailer
!
*LOGO (must be provided by April 21) printed in one color on back Event T-Shirt
!
*Sponsorship Recognition on Event Signage/Chapter Website
SILVER SPONSOR ($500)!
!
!
*NAME printed in black on Event T-Shirt
!
*Sponsorship Recognition on Event Signage/Chapter Website
BRONZE SPONSOR ($250)
!
*Sponsorship Recognition on Event Signage/Chapter Website
SPONSORS
MUST COMMIT
BY APRIL 21TH
TO ENSURE
RECOGNITION
AS LISTED
ABOVE.
Please send
LOGOS to
Stephanie
Hubbard at
georgiaswana@g
mail.com
Scan & email to [email protected], or fax to (770) 338-2735 ON OR BEFORE APRIL 21.
Or mail to SWANA-Georgia, 823 Prada Court, Lawrenceville, GA 30043.
**Sponsors who ALSO want to VOLUNTEER,
MUST additionally complete the VOLUNTEER portion of this package.**
!
!
Name:!
!
!
!
________________________________________________________________
Organization:! !
________________________________________________________________
Address:! !
!
!
!
Phone Number:!
________________________________________________________________
__________________ Email Address:!
______________________________
SPONSOR PAYMENT:
_____Please find enclosed a CHECK (made payable to SWANA-Georgia Chapter) for payment (or)
_____Please charge the following CREDIT CARD:
Card # ____________________________________________________ Exp. Date _______
3- or 4-digit security code ________________! Zip Code for Billing Address __________________
Email Address for Receipt!_______________________________________________
Check the selected level of sponsorship. Submit registration, and logo if required, by April 21.
________!!
!
!
!
IN-KIND & EQUIPMENT DONORS
*(Must provide logo to [email protected] by April 21.)
________!!
!
!
!
GOLD SPONSOR ($1000) !
!
*(Must provide logo to [email protected] by April 21.)
________!!
!
!
________!!
SILVER SPONSOR ($500)
BRONZE SPONSOR ($250)
COMPETITOR & VOLUNTEER REGISTRATION
Scan & email to [email protected], or fax to (770) 338-2735 ON OR BEFORE MAY 3.
Or mail ON OR BEFORE MAY 3 to SWANA-Georgia, 823 Prada Court, Lawrenceville, GA 30043.
I am registering as: _____ A Competitor ($100 or $150) _____A Volunteer (no charge)
Name:!!
!
________________________________________________________________
Organization:!!
________________________________________________________________
Address:!
!
________________________________________________________________
!
!
________________________________________________________________
!
Phone Number:!
________________________________________________________________
Email Address:!
________________________________________________________________
EVERYONE ATTENDING THE ROAD-E-O, regardless of participation capacity, MUST SIGN THIS LIABILITY RELEASE:
I, ________________________________________________________________
!
!
!
!
!
(print name)
hereby request the opportunity to participate during the SWANA-Georgia Landfill Equipment, Truck,
and Mechanic Road-E-O, sponsored by the SWANA-Georgia Chapter in Athens-Clarke County on May
10, 2017. In consideration of the opportunity to participate in the Road-E-O (be it as a competitor,
volunteer, sponsor, or in any other capacity), I do hereby for myself, my heirs, personal representatives
and assigns, release and discharge the Solid Waste Association of North America (SWANA), the
Georgia Chapter of SWANA, and the sponsors, their respective agents, employees and officers, from
all claims, demands, suits, actions and causes of action of any kind for bodily injuries sustained by me
and for damage to and/or loss of personal property arising out of my participation in the event. I
understand that participation in the program involves certain inherent risks and potential hazards, which
I have considered and which I knowingly assume. I have read this release and understand all of its
terms, and I execute it voluntarily.
Signature:!
!
________________________________________________________________
Date:! !
!
________________________________________________________________
COMPETITOR PAYMENT:
_____Please find enclosed a CHECK (made payable to SWANA-Georgia Chapter) for payment (or)
_____Please charge the following CREDIT CARD:
Card # ____________________________________________________ Exp. Date _______
3- or 4-digit security code ________________! Zip Code for Billing Address __________________
Email Address for Receipt!_______________________________________________
!
ROAD-E-O REGISTRATION FORM (page 2 of 2-please complete both pages)
COMPETITORS - Complete this section in with your immediate supervisor.
SWANA/APWA member you are affiliated with (if not you): ______________________________
Event #1 you wish to compete in: !
!
_____________________________!
$100
Event #2 (optional) you wish to compete in:!
_____________________________!
$50
!
!
!
!
!
!
!
(*NOT applicable to APWA competitors.)
----------------------------------------------------------------------------------------------------------------------------------CERTIFICATION REQUIREMENT (to be completed by competitor’s immediate supervisor)
Do you certify that the employee has had no chargeable accidents or moving violations within the
last 12 months? If so, please complete the following:
“I do certify that this employee, ___________________________________
!
!
!
!
!
!
(print employee’s name)
has had no accidents or moving violations within the last 12 months.”
__________________________________!
(Immediate Supervisor’s Signature)!
!
__________________________________
(Date Signed)
VOLUNTEERS - Please select the area in which you would like to volunteer. While
SWANA-Georgia cannot guarantee placement, we will try to place volunteers as requested.
I would like to volunteer as:
________!
!
!
EQUIPMENT CATEGORY JUDGE
(located at the Athens-Clarke County Landfill)!
________!
!
!
TRUCK CATEGORY JUDGE
(located at the Georgia Square Mall Parking Lot)
________!
!
!
GENERAL EVENT VOLUNTEER
(located at either location)
EMAIL ADDRESS - Please print clearly:
_____________________________________________
We will contact you VIA
EMAIL the week before the
Road-E-O with your general
volunteer assignment, so
that you will know which
location to report to on
Wednesday morning.
Please keep an eye out for
this email.
If you haven’t received
anything by May 8, please
email us at:
[email protected]
About Athens
Home is where the Arch is...
and so much more:
Athens is located in the northeastern
region of the state, roughly an hour and a
half from Downtown Atlanta. Home to just
over 115,000 permanent residents,
Athens is home to hundreds of thousands
more around the globe, many of whom
return each year to celebrate SEC
football "Between the Hedges," attend
one of the cities many concert venues,
view art galleries, patronize our many
shops, pubs, and restaurants, or
participate in conferences hosted in the
banquet halls of venues such as The
Classic Center or The Georgia Center at
UGA .
The University Of Georgia, chartered as
the first land-grant institution in 1785,
hosts approximately 25,000
undergraduate students, and an
additional 10,000 graduate students,
employing over 10,600 people in faculty,
staff, and administrative positions.
The land surrounding the university
was named Athens after the Greek
Athens-Clarke County City Hall - Photo Credit Scott Towe
home to the Academy of Plato and
Aristotle. Athens, Georgia became an
official town in 1806, 21 years after UGA's charter. The City of Athens and Clarke County formed a
Unified Government in 1991.
Something for everyone:
Music, art, food, drinks, sports, outdoor recreation -- Athens has it all.
The Classic City is home to the Historic Morton Theatre and Georgia Theatre, along with the famous
40 Watt Club, locally owned Hendershot's Coffee Bar, Globe Pub, The Foundry, and many more.
Visit the historic Founders' Garden at UGA, just off of Lumpkin Street, or view beautiful artwork in the
Lyndon House arts center, just a short walk from your hotel. The State Botanical Gardens of Georgia
are also just a few miles from Downtown.
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SWANA-Georgia Chapter
Landfill Equipment,
Truck & Mechanic
Road-E-O
Athens, GA
Georgia Square Mall
Parking Lot&
Athens-Clarke County Landfill
SWANA-Georgia Chapter
823 Prada Court
Lawrenceville, GA 30043