KLMJ Great Franklin County Tractor Ride

^{^{KLMJ/KQCR Antique Tractor Parade}
^{Saturday,
August 15^th, 2009

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/KQCR Antique Tractor Parade is $35 per person
and includes breakfast, a morning and afternoon snack break, a photograph, and a
surprise. This year’s ride will
go through Bristow, Aredale, Hansell, Hampton, Geneva, Kesley, and back to
Allison. Again this year, the ride
will stop for a one-hour tractor show during Hampton’s Annual Summerfest
Celebration in Bandshell Park. A
morning break is planned in Aredale, with an afternoon break in Kesley.
TRACTOR INFORMATION

Tractor: Make
______________________________Model______________________________
Year______________}
^{Will you have a buddy seat? Yes No_____________ Preferred Traveling
Speed__________________}
^{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 a second driver. Name of second
driver:_____________________________________________

^{If you have an alternate driver, a Second 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 second driver.

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________________________________}}

Driver Safety Pledge}
I, _______________________________, hereby pledge to hold safety as the
highest priority on the KLMJ Great Franklin County Tractor Ride. 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):

To hold a valid drivers license. People with invalid licenses will NOT be
allowed on the ride.

To follow all traffic laws.

To not carry riders except on an approved buddy seat.

To stay with my assigned group.

To depart during my assigned group’s designated time.

To drive on the shoulder if needed.

To not have bicycle companions.

To not pull campers, trailers, or carts.

To follow the designated route.

To abide by the decisions of the Ride Management Teams, based on the
National Weather Service,
in          ^t^the^{event
of inclement weather.}

NO CABS ARE ALLOWED.

REARVIEW MIRRORS AND A SLOW MOVING VEHICLE SIGN ARE REQUIRED.

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 Great Franklin County Tractor Ride,
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:} ^{Great Franklin County Tractor
Ride, ATTN: Mandy Strother, PO Box 495, Hampton, IA 50441.}

Second Driver Application}}}}