Team Trophy Challenge Logo Team Trophy Challenge title

November 8, 2006

NOTE! Team Trophy Challenge is taking a break!

Meanwhile, please look through our past challenge information on the site

Team Trophy Challenge horiz. divider stripes

 

 

 

         

 

Application / Waiver

Please print and mail!! Or try our one-page PDF printer-friendly file

Vehicle #1Vehicle #2
Driver's Name  
Address

 

  
Phone (Day & Eve)

 

  
Vehicle Make/Year  
License #/State  
Insurance Co.  
Policy #  
Club Affiliation  
Entry Fee:
If received by May 5, 2006 - $60.00 per vehicle $_______________
Day of event - $75.00 per vehicle $_______________
Merchandise:
T-shirts (Pre-ordered) S____ M____ L____ XL____ -$15.00 each$_______________
S-Shirts (Pre-ordered) S____ M____ L____ XL____ -$20.00 each$_______________
  TOTAL ENCLOSED: $_______________
Make checks payable to Team Trophy Challenge.
Mail to: PO BOX 2175, Clackamas, OR 97015

 

LIABILITY WAIVER
PACIFIC NORTHWEST TEAM TROPHY CHALLENGE
May 20 & 21, 2006 --
Vehicle #1

I/We Print name(s) here
acknowledge that I/We are willing participants in all aspects ofthis event which I/We have willingly entered. I recognize my own driving limitations and understand the handling characteristics ofmy vehicle. I/We recognize that off-road driving is a potentially hazardous activity and will assume all risk ofpersonal injury and property damage arising from and related to this activity. I/We will obey all rules and safety requirements of this event and have read and fully understand the entry form and this waiver.

I/We do agree to release and hold harmless the Pacific Northwest Team Trophy Challenge Committee, its agents, organizers, and sponsors, from any and all claims, liability, losses, injuries, property damage, and related costs which I/We may suffer from said event.

Signed

Print name(s) hereDriver

Print name(s) herePassenger

 


 

LIABILITY WAIVER
PACIFIC NORTHWEST TEAM TROPHY CHALLENGE
May 20 & 21, 2006 --
Vehicle #2

I/We Print name(s) here
acknowledge that I/We are willing participants in all aspects ofthis event which I/We have willingly entered. I recognize my own driving limitations and understand the handling characteristics ofmy vehicle. I/We recognize that off-road driving is a potentially hazardous activity and will assume all risk ofpersonal injury and property damage arising from and related to this activity. I/We will obey all rules and safety requirements of this event and have read and fully understand the entry form and this waiver.

I/We do agree to release and hold harmless the Pacific Northwest Team Trophy Challenge Committee, its agents, organizers, and sponsors, from any and all claims, liability, losses, injuries, property damage, and related costs which I/We may suffer from said event.

Signed

Print name(s) hereDriver

Print name(s) herePassenger

 

 

 

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