6th Annual Obtainium Cup Contraptor’s Rally

July 23, 2017
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 16, 2017 or click on the link to pay online. 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
$