Teepee Registration Form - Pinewood Derby, April 17, 1999
Registration must be received by February 1, 1999 to qualify for race- (Order must be placed + time to complete car)

Registration fee for maidens/princesses is $9.00. Registration fee for parents is $5.00. Parents do not have to register unless they plan to race their own cars.

Tribe : _________________________________________________

Name of Participants (first and last, please print clearly)   Parent or Daughter   Extreme or Standard (parent only)   Fee($)
             
             
             
             
             
             
Total Registration            

Registration Includes: Car Kit (Wood Block, Wheels, and Axles) and assigned race number.

 

OPTIONAL:

As an added convenience, racers may order various materials from our supplier. These items, listed below, will be provided at our cost and will be in addition to the registration fee.

Item Qty Item Number Description Price Each Total Price
           
A   10010 1/4 oz. Graphite $3.00  
B   10011 Weights-Rectangle 2 oz. $2.20  
C   10012 Weights-Cylinder 2.5 oz. $2.20  
D   10013 Weights-Square 3.0 oz. $2.20  
E   10045 Weights-Stick-On 3.0 oz. $2.20  
F   10014 Spare Axles (4 pieces) $1.20  
G   10031 Spare Wheels (4 pieces) $2.50  
H   10039 Steering Wheel, Driver, Seatback $2.50  
I   10038 Pro-56 Glue, 1 oz. Non-Toxic $2.65  
J   10044 Sandpaper Assortment, 3 grades $1.25  
K   10056 1/4 oz. Wood Filler $2.50  
L   10036 Racing Wax $2.50  
M   10017 Decals - Food Fight $3.50  
N   10018 Decals - Patriotic $3.50  
O   10020 Decals - Numbers/Letters $3.50  
P   10021 Decals - Flames & Arrows $3.50  
Q   10022 Decals - Flags $3.50  
R   10023 Decals - Emergency Vehicles $3.50  
S   10024 Decals - Primaries $3.50  
T   10049 Decals - Military $3.50  
U   10054 Decals - Anchors Aweigh $3.50  
V   10055 Decals - Jolly Roger $3.50  
W   10026 Decals - Flames & Fangs $2.50  
X   10029 Decals - Rockets $2.50  
Y   10030 Decals - Fantasy $2.50  
Z   10037 Decals - Reptilian $2.50  
AA   10050 Decals - Military $2.50  
           
      Total Optional Items    
           
      Total Registration + Options    

FOR MORE INFO. -- VISIT THE MIAMI WEB SITE

or call Doug Walters at (614)899-7998(home) or (614)888-4077(work)