SNOW BOX DERBY RELEASE FORM & WAIVER –
MUST BE SIGNED BY PARENT OR GUARDIAN IF
UNDER 18 YEARS OF AGE
In consideration of the furtherance of your purposes,
objectives and work, in consideration of your permitting
me to participate in your event, on behalf of myself, my
heirs, executors, administrators and assigns, I hereby
waive and release any and all rights and claims for damages which I may have against you, the municipalities
through which the event will take place, as well as any
other persons connected with the event, their heirs, executors, administrators, successors, assigns, for any and
all injuries which I may suffer while taking part in the
event, or as a result thereof.
IMPORTANT- PARTICIPANTS UNDER THE AGE OF 18
MUST HAVE THIS APPLICATION SIGNED BY A PARENT
OR GUARDIAN.
______________________________
PARTICIPANT SIGNATURE
27th Annual
Snow Box Derby
2017
______________________________
PARENT/GUARDIAN SIGNATURE
(If under 18 yrs. of age.)
Sign, date and return by February 10, 2017.
For more information or if you have any
questions please contact us at the following:
(Checks may be made payable to O.A.C.C.)
Address: 4440 N. US – 23 Oscoda, MI 48750
Email: [email protected]
Oscoda-AuSable
Chamber of Commerce
February 12, 2017
at
Old Orchard Park
Oscoda, Michigan
27th Annual Snow Box Derby Rules 2017
Creativity Prize Structure:
Gates Open: 10:00 A.M.
Late Registration Ends/Judging begins: 11:30 A.M.
Races Start: 12:00 P.M.
RULES AND REGULATIONS:
Please read all rules prior to mailing the registration /release form.
1. Business Contestants: Entrance fee of $30.00
for each box and includes up to two people
and two buttons.
2. Family/Adult: (All ages) Entrance fee of
$15.00 for each box and includes 2 buttons &
AS MANY AS YOU CAN FIT!
3. Child: (Ages 12 & Under) Entrance fee of $5.00
for each box and includes up to two children
and two buttons.
4. All entrants that wish to have their boxes
judged for creativity must be present no later
than 11:30AM
5. Snow boxes must be made of cardboard,
(news)paper, paint, tape and glue only. Other
materials will disqualify entry from any and all
participation with no refund. No plain boxes
allowed.
Family/Adult
(All Ages)
Business
(All Ages)
1st Place $100.00
1st Place Trophy
2nd Place $50.00
2nd Place –
Plaque
3rd Place $25.00
3rd Place –
Plaque
Child: $25.00 for best box completely made by a child
contestant (12 & under)
Speed Contest: Each Category– 1st, 2nd, 3rd place
trophies (Business, Family, Child)
Toboggan Race: 1st place traveling trophy and
bragging rights!
Name
_________________________________________
Date _____________________________________
Address___________________________________
City_______________State______ZIP_________
Phone ___________________________________
Age(s) _______________________________________________________
Category _______________________________
E-mail __________________________________
Amt. Paid $______________________________
Box #___________________________________
6. Ski poles are not allowed.
7. No warm-up runs are allowed
Description of Entry:
8. Pre-registration required by Feb. 10, 2017.
Entry fee must include signed release forms.
_________________________________________
9. Late registration fee on race day: Cash Only
$5.00 additional for ALL categories.
10. All determination of judges are final.
11. Parking at the race area will be limited to vehicles carrying snow boxes and special volunteer parking permits. All other vehicles must
park in the lower lot. A $3.00 Snow Box Derby
Button is required for all entering gates. Kids
5/under are FREE.
_________________________________________
See BACK SIDE of FORM FOR
WAIVER, SIGN, DATE AND RETURN TO O.A.C.C_