KLMJ Antique Tractor Parade

                                                             Saturday, August 30th, 2008

Driver Application

All entries must be 1972 or earlier models.

 

PERSONAL INFORMATION                    (Please print clearly)

Name (as it will appear on your name plaque)_________________________________________________

Address_____________________________________________________________________________

City _________________________________    State _______    Zip_________    County_________________

Phone:        Home________________________________    Cell__________________________________

Have you been on the Great Franklin County Tractor Ride before?        Yes____ No_____    What Year?_____

 

The KLMJ Antique Tractor Parade is $35 per person and includes breakfast, a morning and afternoon snack break, and a photograph.  This year’s ride will start at North Iowa Cooperative in Thornton and go through Meservey, Alexander, Latimer, Hampton, Beeds Lake, Chapin, Sheffield, and back to Thornton.  The ride will stop for a one-hour tractor show during Hampton’s Summerfest Celebration in Band Shell Park.  A morning break is planned in Alexander, with a surprise afternoon break. 

 

TRACTOR INFORMATION

Tractor: Make _________________________Model_________________Year_______________________

 

Will you have a buddy seat?  Yes____No____Speed: Under 11 mph________ or 12-15 mph__________    

 

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.  Or Click HERE.  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 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.

 

Signature___________________________________            Date_____________________________

 
 

 


 


 

 

 

 

 

KLMJ Antique Tractor Parade

Driver Safety Pledge

 

I, _______________________________, hereby pledge to hold safety as the highest priority on the KLMJ 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.

o       NO CABS ARE ALLOWED.

o       REARVIEW MIRRORS AND A SLOW MOVING VEHICLE SIGN ARE REQUIRED.

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.

 

Signature:___________________________________________       Date:_____________________________

 

To be an official participant of the KLMJ 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 kqcrtraffic@mchsi.com. 

 

Please mail registration form and check to: KLMJ Antique Tractor Parade, ATTN: Mandy Strother, PO Box 495, Hampton, IA 50441.