Vermilion Lawn Mower Race Registration

Vermilion Lawn Mower Race Registration
Location: 5510 College Drive, Vermilion, AB
Race Date: September 14, 2024
Time: 1ST 3 Heats start at 12:30PM / 2ND 3 Heats start at 7:30pm
Driver Details
Full Name*

First NameLast Name
Age*
Date of Birth*

MonthDayYear
Date
Email*
example@example.com
Phone Number*

Area CodePhone Number
Address*

Address

Address Line 2

CityProvince

Postal Code
Emergency Contact *

First NameLast Name
Emergency Contact Phone Number*

Area CodePhone Number
Relationship to Emergency Contact*
Parent / Guardian Details

(Please complete if driver is under 18)
Parent / Guardian

First NameLast Name
Address same as driver?

YesNo
Address: (If different than driver)

Address

Address Line 2

CityProvince

Postal Code
Parent/Guardian Phone #: (If different from driver)

Area CodePhone Number
Email: (If different than driver)
example@example.com
Class Registration

(Registration fees are per machine)
Payment Method*
Registration Fee*
prevnext( X )
Power Wheels$10.00CAD

Jr. Stock$15.00CAD

Open Stock$20.00CAD

Modified Stock$20.00CAD

Super Stock$30.00CAD

Outlaw$30.00CAD

Total $0.00CAD
Unit/Tractor #:
Waiver & Release
I confirm that I am in good shape, health, and condition.I don't have any medical condition or medical history that will affect my participation in this event.I will follow the rule and regulations of the lawn mower race event.I acknowledge that this lawn mower race requires physical activity and there are possible risks and danger.I release the Vermilion lawn mower race event organizers and Vermilion Ag Society for any responsibility in case of an accident, illness, or injury.I allow my photo to be taken during the event and used for event advertising and marketing.I confirm that all information in this registration form is accurate and true.
Participant's Signature*

Powered by Jotform SignClear
Date Signed*

MonthDayYear
Date
Parent/Guardian Signature (If participant is under 18 years old)

Powered by Jotform SignClear
Date Signed

MonthDayYear
Date
Should be Empty:

Vermilion Lawn Mower Race Registration

Driver Details

Parent / Guardian Details

Class Registration

Waiver & Release