7th Annual Obtainium Cup Contraptor’s Rally

July 22, 2018
Participant Application Form

If you want to enter a vehicle or bicycle in the rally and receive a medal, you must fill out this form and send your $25 entry fee to: Obtainium Works, 510 Pennsylvania Street, Vallejo, CA  94590 no later than July 15, 2018 or pay online - PayPal account is neverwashaul@gmail.com or go to our Donations page and use the $25 link. Last minute registrations will be accepted at Alden Park.

Waiver must be signed by all team members and submitted at check-in. If team member is under 18, they must have a waiver signed by a parent or guardian.

Name *
Name
Address
Address
Cell Phone
Cell Phone
Home Phone
Home Phone
$