Pinewood Derby Registration

Pinewood Derby Registration - 2024
Wednesday, May 8, 2024
6-8pm
For children age 3 - grade 5.
Bring the whole famiy! Pizza & snacks provided.
Parent's Name*

First NameLast Name
Parent's Phone*

Area CodePhone Number
Parent's Email*
How many people in your family/group are coming to the Pinewood Derby?
How many car kits would you like to order?
When would you like to pick up your car kit(s)? Car kits can be picked up on Sunday Mornings at the table in the Children's Hallway, or on Wednesday nights. $5 cash or check donation requested for each kit at time of pick-up. Checks should be made payable to Ebenezer Bible Fellowship Church.
Please list the name & age of each child entering the race:
Racer #1

First NameLast Name
Racer #1 Date of Birth

MonthDayYear
Racer #2

First NameLast Name
Racer #2 Date of Birth

MonthDayYear
Racer #3

First NameLast Name
Racer #3 Date of Birth

MonthDayYear
Racer #4

First NameLast Name
Racer #4 Date of Birth

MonthDayYear
Comments/Questions:
Should be Empty:

Pinewood Derby Registration - 2024