Volunteer

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Volunteer

March 7, 2011

Thank you for your interest in helping with The Hemmings Motor News 2011 Great Race. We are looking for individuals who are willing to help us conduct the event. As you have no doubt seen, the competitive portion is June 11-17, 2011. But, we will need our selected staff and volunteers to possibly be available from June 8-19 depending upon the position you are selected to fill. Please understand that this form is an Application, it is not a guarantee that we can/will be able to ask you to join us as a staff member or volunteer. We have received more requests from wonderful folks like you, than we will be able to use.

SECTION 1: ENTRANT IDENTIFICATION

(Routine Correspondence goes to the Entrant.)

Your First Name (required)

Your Last Name (required)

Your Middle Initial

Spouse First Name (required)

Mailing Address (required)

City, State, ZIP (required)

Your Office Phone

Your Home Phone (required)

Your Cell Phone (required)

Your Birthday (required)

Your Drivers License # (required)

Your License State (required)

Your License Expiration (required)

Your Hometown (required)

Please Select Your T-Shirt Size

In case of Emergency Notify

Emergency Contact Name(required)

Relationship

Emergency Contact Phone Number(required)

Emergency Contact E-Mail(required)

Do you have a Commercial Drivers License? Yes No

Your Drivers License # (required)

Your License State (required)

Your License Expiration (required)

(Please provide copies of all Drivers License)

SECTION 2: BACKGROUND/HISTORY

Are you willing to use your personal vehicle to travel to/from and during the Great Race? Yes No

(If yes, please provide information below)

Year

Make

Model

Color

VIN

Engine - Horsepower/Displacement/Type

Transmission (3-speed, 4-speed, other)

Overdrive - Type/Make

Original Body?

Body Manufacturer (if other than original)

Performance (0 to 50 MPH)

Top Speed (MPH)

Competition History of Vehicle

Rally Experience: Driver

Rally Experience:Navigator

License Plate Number

State

Expiration

Vehicle Insurance Company

Policy Number

Policy Expiration

Coverage Limits

SECTION 3: PREFERENCES

What do you envision yourself doing?

Who do you prefer to Room with:

(All staff members have roommates)

Closest Airport to your home:

Dates you are available:

SECTION 4: TERMS AND CONDITIONS OF APPLICATION

#1I understand that this is an Application, not an offer of employment. There is no guarantee that I will be selected to help with the 2011 Great Race.
#2I agree to follow all the Rules and Regulations of the Hemmings Motor News 2011 Great Race and its organizer, The Great Race.
#3I acknowledge and agree that if selected I will be expected to wear the appropriate staff shirt provided by the Great Race.
#4I further acknowledge that I will be required to sign an insurance waiver and indemnity agreement in order to participate in the Event.
#5I agree to permit The Great Race, the promoter of the Event, and their assigns, the use of my name, voice and/or likeness and photographic or videographic images of me for news, publicity and feature use, films and video, newspapers, magazines and all other media in connection with advertising and for purposes of trade without compensation other than my being able to participate as a staff member or volunteer with The Great Race.
#6By signing below, I affirm that the information I provided is true and correct and that I have completed the entire application form to the best of my ability.

Volunteer

March 7, 2011

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