Kit Car Soapbox Race Registration

Kit Car Soapbox Race Registration

Kinetic Derby Day April 26, 2024 Presented by the City of West Columbia
Kit Cars offer a different approach, ideal for racers who want to start with a pre-built frame but still add their unique flair. In this division, participants use a pre-assembled car kit as their base, which can then be customized to fit their fantasy-inspired vision. Kit Cars are perfect for those who want to focus on speed and performance while adding decorative touches like mythical symbols, sci-fi elements, or creative themes. This division allows for personalization without needing to build from the ground up, making it accessible to racers of all experience levels. This registration includes 8-12, 13-17, and adult.
Contact Information
Name*

First NameLast Name
Email*
example@example.com
Phone Number*
Please enter a valid phone number.
Address *

Street Address

Street Address Line 2

CityState / Province

Postal / Zip Code
Team Information
Registered Age Group: this is the group you will be competing in.*

8 - 12 Years Old13 - 17 Years OldAdult
Team Name
Example: Gryffindor Lions
Kit Car Name
Example: The Gryffin-Speed Racer
Names of everyone on your team.
Example: Harry potter, Ron Weasley, Hermione Granger, Neville Longbottom, and Ginny Weasley.
Team Bio
Meet the Gryffindor Lions! This team of daring racers brings Hogwarts’ bravest house to the soapbox race track. Led by our fearless captain, Harry “The Speed Seeker” Granger, the Gryffindor Lions include Hermione “Quick-Wit” Bloom, the strategist; Ron “The Bolt” Weasley, the crew’s charm expert and moral booster; and Neville “Never-Look-Back” Long, our determined rookie. Together, they represent the qualities of Gryffindor: courage, heart, and the willingness to face any challenge head-on. With a shared love for all things Harry Potter, the team is revved up to bring home a magical victory in the Gryffin-Speed Racer!

KINETIC DERBY DAY RELEASE AND INDEMNIFICATION AGREEMENT

In consideration of being permitted to participate in or assisting others in participating in the West Columbia Kinetic Derby Day, and related events and activities, on behalf of myself, or a minor child:

1) I ACKNOWLEDGE, UNDERSTAND AND DECLARE THAT:

To the best of my knowledge, I am in GOOD PHYSICAL CONDITION and have no disease or injury that would be aggravated by participating in activities related to the event;
The City of West Columbia, Faithful Marketing & Events, and/or the sponsors make no warranty or guarantee as to the safety and/or condition of the race vehicle(s), or race course;
Participating or assisting others in participating in the event may involve RISK OF INJURY TO ME, INCLUDING DEATH, LOSS OR DAMAGE TO ME OR MY PROPERTY, or other consequences, which might result not only from my own actions, inactions or negligence but also the actions, inactions, or negligence of others, the rules of play or the conditions of the premises or of any equipment used;
There may be OTHER RISKS not known or not reasonably foreseeable; and Understanding All of the Above.

2) I ASSUME ALL OF THE ABOVE RISKS AND RELEASE, WAIVE, DISCHARGE, HOLD HARMLESS, INDEMNIFY AND CONVENANT NOT TO SUE THE OF WEST COLUMBIA and FAITHFUL MARKETING AND EVENTS :

any affiliated subsidiary, successor, organization, or related companies or businesses, other participants, sponsoring agencies, sponsors, or advertisers, the respective administrators, officers, directors, agents, representatives, employees or volunteers of such entities or organizations;
owners, lessors and lessees or premises used to conduct the event FROM ANY AND ALL LIABILITY FOR INJURY, INCLUDING DEATH, LOSS OR DAMAGE TO PERSON OR PROPERTY, OR ANY OTHER CONSEQUENCE in connection with entry in or arising out of participating in, performance in or lack of performance in, including travel en route to and from the event.

3) CONSENT TO:
Be photographed or filmed by the City of West Columbia, Faithful Marketing & Events, and/or the press (television, magazines, newspapers). I understand that such photographs or films may be used and reproduced by the City of West Columbia, Faithful Marketing & Events, and/or the media by all means and in all media in perpetuity for the purposes of advertising, publicity and highlighting the City and the event.
Signature*

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Registration Fees*

Kit Car Registration Kinetic Derby Day Kit Car Soapbox Race Registration.

$25.00

Business - Kit Car Registration Product Image

Business - Kit Car Registration Kinetic Derby Day Kit Car Soapbox Race Registration. Business registration allows you to promote your business or affiliate on your soapbox car.

$100.00

Enter coupon

Total

$0.00

Credit Card Details
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Kit Car Soapbox Race Registration

Contact Information

Team Information