International Pine Car Derby

Instructions for Entering Cars

*** Each car should be labeled on the bottom in permanent marker with the girl's name and Caravan number. ***

*** If you are mailing your pine cars, please send the cars to: ***

Lutheran Girl Pioneers Pine Car Derby

c/o Sally Ramthun

N65W22201 Silver Leaf Dr., Lot H-22

Sussex, WI 53089

*** Pay for fees either through this form, or by sending a check NO LATER THAN April 11, 2025 to: ***

Lutheran Girl Pioneers Pine Car Derby

c/o Sally Ramthun

N65W22201 Silver Leaf Dr., Lot H-22

Sussex, WI 53089

YesNo

Caravan Number:*

District:

Home Church:*

Address*

Street Address

Street Address Line 2

CityState / Province

Postal / Zip Code

Caravan Counselor*

First NameLast Name

Caravan Counselor Phone Number*

Please enter a valid phone number.Format: (000) 000-0000.

Caravan Counselor Email*

example@example.com

District Number:*

District Counselor:*

First NameLast Name

Address*

Street Address

Street Address Line 2

CityState / Province

Postal / Zip Code

District Counselor Phone Number:*

Please enter a valid phone number.Format: (000) 000-0000.

District Counselor Email:*

example@example.com

First Name* Last Name* Caravan Grade
Race Craft* *

First Name Last Name Caravan Grade
Race Craft

Are you interested in hosting the girls' International Pine Car Derby in future years?*

We recommend host sites provide the track, track electronics, and associated software and equipment for the race day.

Name

First NameLast Name

Email

example@example.com

Phone Number

Please enter a valid phone number.Format: (000) 000-0000.

Even if you are mailing a check in, please click the "PayPal Checkout" button and your form will be submitted. You HAVE to enter MailCheck in the discount code if you are mailing a check.

My Products

Pine Car Entry

Please select how many Pine Car Entries.

$7.50 Quantity

Return Shipping

How many cars being shipped back after race?

$2.50 Quantity

Enter coupon

Total

$0.00

Payment Methods

Fastlane Checkout

Choose from one of the PayPal options to make your payment.

Contact Info

Payment Info