Local Race Registration Form

Which program do you represent?*

Which division are you participating in?

StockSuper StockMasters

Participant's Name

Local Race City Organization

Mailing Address

Street Address/P.O Box

Street Address Line 2

CityState

Zip Code

Phone

School Grade

Age

Date of Birth

Date

Parent/Guardian Email

example@example.com

What year did you begin racing Soap Box Derby?

How did you learn about Soap Box Derby racing?

Elaborate on the above question

I, Racer Name, racer of a Soap Box Derby car entered in the official Soap Box Derby Local Race being held in Columbus, Georgia/River City, hereby certify that my car has been built in full compliance with the most current construction plans and rules published by the International Soap Box Derby, Inc.

Participant Signature*

Date

Parent/Guardian's Name

Relationship to Participant

Mailing Address

Street Address/P.O Box

Street Address Line 2

CityState

Zip Code

I, Parent/Guardian Name, hereby certify that my son/daughter/ward, Racer Name, entrant in the official Soap Box Derby Local Race being held in, has read the above statement completed by my son/daughter/ward and know the facts stated therein to be true. Further, I hereby grant permission for my son/daughter/ward to enter the official Soap Box Derby Local Race in Columbus, Georgia/River City and in the event he or she is adjudged the winner of the official Soap Box Derby Local Race, to participate in the FirstEnergy All-American Soap Box Derby World Championship in the current race year in Akron, Ohio.

Further, I understand and agree that, as a prerequisite to competing in the FirstEnergy All-American Soap Box Derby in Akron, Ohio, that my son/daughter/ward, together with his/her car, shall have undergone and passed an inspection conducted in Akron, Ohio by the International Soap Box Derby, Inc. I further understand and agree that such inspection shall be conducted using the manner and methods deemed appropriate by the International Soap Box Derby, Inc., in its sole discretion, to determine compliance with its rules, spirit and specifications applicable to that division and that the decisions of the International Soap Box Derby, Inc. and its officials regarding qualification, disqualification and compliance with the rules, spirit and specification applicable to that division shall be final and binding upon me, my son/daughter/ward and all other parties.

Photographic Release. I grant and convey to the Derby all rights, title, and interests in any and all photographs, images, video, or audio recordings of me or my likeness made by Derby or its agents in connection with my providing volunteer services to the Derby.

By signing this agreement, I acknowledge the contagious nature of COVID-19 and voluntarily assume the risk that I (parent/guardian, and/or my son/daughter/ward) may be exposed to or infected by COVID-19 by attending an event that such exposure or infection may result in personal injury, illness, permanent disability, and death. understand and agree that this release includes any claims based on the actions, omissions, or negligence of the ISBD, its employees, volunteers, participants or others, whether a COVID-19 infection occurs before, during or after participation in any ISBD sanctioned event.

Event guidelines is subject to change based on state and local guidelines.

Finally, I, as such parent or guardian, in consideration of the benefits received as a result of the participation herein, and for the mutual benefits received by myself and my child and the other participants herein, hereby waive and release any and all claims, rights, causes of action, demands or otherwise, whether for personal injuries, property damage, or any other loss, damages or expenses which I, as a parent/guardian, and/or my son/daughter/ward may have against the Local Soap Box Derby, its sponsor, the International Soap Box Derby, Inc., and/or its sponsors, agents, employees, full or part-time, or associates of any status whatsoever, arising from or in any manner related to my son's, daughter's or ward's participation in the Local Soap Box Derby, the FirstEnergy All-American Soap Box Derby and/or any activities incidental or related thereto.

Parent/Guardian Signature*

Date

I, Robbie Branscomb, the Local Race Director of the official Soap Box Derby Local Race being conducted by Columbus, Georgia/River City (Race City), have read the statement about, signed by the entrant and his or her parent/ guardian, and understand the facts therein to be true. I have inspected his/her car and, in my opinion, it meets all construction requirements for the Stock, Super Stock, or Masters division.

Local Race Director Signature

Date

Parent/Guardian Code Of Conduct

The International Soap Box Derby, Inc. has implemented the following Parent/Guardian Code of Conduct for the important message it holds about the proper role of parents in supporting their child in racing. Parents MUST read, understand and sign this form prior to their children participating in our races.

Any parent guilty of improper conduct at any Soap Box Derby event will be asked to leave the facility and may be suspended from following events. Repeat violations may cause forfeiture of the privilege of attending all events.

I therefore agree:

1. I will not force my child to participate in Soap Box Derby racing.

2. I will remember that children participate to have fun and that the activity is for youth, not adults.

3. I will inform the Race Director of any physical disability or ailment that may affect the safety of my child or the safety of others.

4. I will learn the rules and policies of the organization.

5. I (and my guests) will be a positive role model for my child and encourage sportsmanship by showing respect and courtesy, and by demonstrating positive support for participants, officials and spectators at every race or any related event.

6. I (and my guests) will not engage in any kind of unsportsmanlike conduct with any official, racer, or parent such as booing and taunting; refusing to shake hands; or using profane language or gestures.

7. I will not encourage any behaviors or practices that would endanger the health and well being of the participants, officials and spectators.

8. I will teach my child to play by the rules and to resolve conflicts without resorting to hostility or violence.

9. I will demand that my child treat other participants, officials and spectators with respect regardless of race, creed, color, sex or ability.

10. I will teach my child that doing one’s best is more important than winning, so that my child will never feel defeated by the outcome of a race or his/her performance.

11. I will praise my child for competing fairly and trying hard, and make my child feel like a winner every time.

12. I will never ridicule or yell at my child or other participants for making a mistake or losing a competition.

13. I will emphasize skill development and practices and how they benefit my child over winning. I will also de-emphasize races and competition in the lower age groups.

14. I will promote the emotional and physical wellbeing of the racers ahead of any personal desire I may have for my child to win.

15. I will respect the officials and their authority during races and will never question, discuss, or confront others at the race track, and will take time to speak with officials at an agreed upon time and place.

16. I will demand an environment for my child that is free from drugs, tobacco, and alcohol and I will refrain from their use at all events.

17. I acknowledge and agree that any decisions of the officials of the Soap Box Derby shall be final and binding upon me and my child in all respects and at all times.

Parent/Guardian Signature*

Date

Fee*

USDDescription

SOAP BOX DERBY