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Each driver will receive a special participation patch and certificate, |
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Trophies for 1st, 2nd, 3rd, 4th, & 5th In all Divisions |
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Medals for 1 through 3rd in Scout Divisions |
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Please pre-register with the form below. If you are registering several
Cub Scouts from your pack, |
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Please include a list of their names, rank, and phone numbers. If you can't pre-register, you
may register |
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at the Derby. |
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_______________________________________________________________________________________ |
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Name:_____________________________________________________ Phone#: ________________ |
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Address, City, Zip:___________________________________________________________________ |
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Unit:______________ I am registering __________ Cub Scouts Amount
_________________________ |
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Mail to BSA, Tres Ranchos District, Pinewood derby, 1001 Davis St.,
San Leandro, CA 94577 |
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Office use only: |
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Date rec'd ____/____/____ Amount Rec'd ____________ Check #__________ Receipt #___________
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_______________________________________________________________________________________ |