KLMJ/KQCR Antique Tractor Parade
Saturday, August 10th, 2013
you been on the KLMJ/KQCR Antique Tractor Parade before?Yes__
The KLMJ/KQCR Antique Tractor Parade is $50 per tractor and includes breakfast, morning and afternoon
snack breaks, lunch, dinner, a photograph, and a gift bag This year, we’ll start in Bristow and go to Aredale,
Hansell, Beads Lake, Hampton, Geneva, Dumont, and back to Bristow. The parade will have a one-hour tractor
show at Hampton's Annual Summerfest Celebration in Bandshell Park, between noon and 1 p.m. A morning break is planned in Hansell, lunch in Hampton, and an afternoon break in Dumont.
The tractor speed stated on this form will be used to determine group placement. Please test your tractor speed BEFORE choosing a traveling speed. Always estimate slower!
___ Yes, I will be registering an alternate driver.
Name of alternate driver:____________________________________________________________
If you have an alternate driver, an Alternate Driver Application and Safety Pledge will be mailed to you with your confirmation letter. It is your responsibility to get all the information to your alternate.
I hereby, for myself, my heirs, my executors, and administrators, waive any and all rights and claims for damage I may have against individuals associated with this event, its agencies, representatives, and successors for any and all injuries suffered by me in this event. I attest and verify that I have full knowledge of the risks involved and am physically able and sufficiently trained to participate in this event. KLMJ/KQCR Radio reserves the right to limit the number of tractors in the ride in order to control traffic and the safety of the event. I give my permission for the free use of my name and picture in any broadcast, telecast, or print media account of this event.
I, _______________________________, hereby pledge to hold safety as the highest priority on the KLMJ/KQCR Antique Tractor Parade. The safety of my fellow riders and the public traveling on the route is of the utmost importance. I pledge to obey the following rules (please place a check mark beside each rule so we know you have read them):
o To hold a valid drivers license. People with invalid licenses will NOT be allowed on the ride.
o To follow all traffic laws.
o To not carry riders except on an approved buddy seat.
o To stay with my assigned group.
o To depart during my assigned group’s designated time.
o To drive on the shoulder if needed.
o To not have bicycle companions.
o To not pull campers, trailers, or carts.
o To follow the designated route.
o To abide by the decisions of the Ride Management Teams, based on the National Weather Service, in the event of inclement weather.
No cabs are allowed.
A slow moving vehicle sign is required.
REARVIEW MIRRORS ARE REQUIRED.
IF YOU DO NOT HAVE A MIRROR, YOU WILL NOT BE ALLOWED TO
PARTICIPATE. WE WILL BE CHECKING
ALL TRACTORS THE MORNING OF THE RIDE!
o No passing is allowed at any time.
I understand breaking these rules will result in the denial of all future applications. Repetitive violators will be asked to leave the ride per the Ride Management Team.
To be an official participant of the KLMJ/KQCR Antique Tractor Parade, please complete, sign, date, and submit all forms. Please list only one person per registration form. Upon acceptance of registration, a confirmation letter will be sent. If you have any questions, please call Mandy Strother at 641-456-5656 or email email@example.com
Please mail registration form, safety form, and check to: KLMJ/KQCR Antique Tractor Parade, ATTN: Mandy Strother, PO Box 495, Hampton, IA 50441.
SECOND DRIVER APPLICATION
2013 ROUTE MAP