DRIVER

Name_______________________________________ 

Address______________________________________

City/State/Zip_________________________________

Phone (___)_____________ Fax (___)_____________

E-mail ______________________________________

Driver license # & state________________________

Emergency contact ____________________________

CO-DRIVER

Name_______________________________________ 

Address______________________________________

City/State/Zip_________________________________

Phone (___)_____________ Fax (___)_____________

E-mail ______________________________________

Driver license # & state________________________

Emergency contact ____________________________

VEHICLE

Year_____________ Make______________________

Model _______________________________________

License #____________________ State___________

Color___________________

Owner ______________________________________

Insurance Company __________________________

Policy # _____________________________________

The CALI Trophy Challenge will be held Saturday July 26^th 2008 at Cow Mountain BLM, Lakeport California.

Stage 1 will begin at 10am with all teams having departed by 11am. Challenge stages will be held after all drivers have completed Stage 1. Stage 2 begins at dusk

Teams will consist of 2 vehicles chosen by competitors or matched at race start area. Vehicles should consist of one driver and one co-driver/navigator.

Print a copy of this form to bring to race start.