Driver: * D.O.B. * Age * Rider D.O.B. (rider) Age (rider) Driver and Riders must be members of APBA or the CBF and a current FVRC or other APBA/CBF associated club member to be permitted onto the water. Driver's APBA Member No.: Or CBF Member No.: Driver's FVRC Member No.: Or Other APBA Club Affiliation (driver) Rider's APBA Member No.: Or Rider's CBF Member No.: Rider's FVRC Member No.: Or Other APBA Club Affiliation: (rider) Boat Name: * Boat Type: Boat Number * Cell Phone: Home Phone: Email * Emergency Contact * Phone * At Site?
Is the emergency contact at the event?
Crew Names: (A MAXIMUM of three crew members PLUS the driver are admitted per registration. Crew members will help with the launch and retrieval of this boat and must sign insurance waiver. All crew members must FULLY COMPLY with APBA rules regarding access to the pit area.) Crew Member 1 Crew Member 2 Crew Member 3
FVRC Membership meeting and Social Hour and Dinner, Saturday, November 16, Puddle Jumpers Upstairs
FVRC Annual Members meeting starts at 6 PM
Social Hour and Dinner starts at 7 PM
Everyone buys their own drinks and dinner
Please complete/print your membership registration form at
https://fvrc.club. Credit Cards may be securely processed on the website. (If your APBA card does not show medical information, please bring a copy of your current medical form.)
REGISTRATION DEADLINE IS NOVEMBER 1, 2019. LATE FEE OF $25.00 APPLIES TO ALL BOATS AFTER THAT.
You may also print and snail mail a copy of this registration form. You may download a copy here. SAFETY AND OTHER INFORMATION
APBA Membership: To be permitted on the water, you must be a member of the American Power Boat Association or the Canadian Boating Federation and minimum age of 16. You are responsible for showing that you are an APBA member. The Registrar cannot accept outdated cards. Please contact APBA if you have not received a current card. Single event memberships for $25 will be available at registration.
FVRC Membership: Drivers and riders must be members of the FVRC or another APBA / CBF associated club to be on the water. FVRC 2019 membership is $40.
Waiver of Liability: All participants (Drivers AND Riders) must sign an APBA approved waiver of liability and release form. Parents or guardians of minors must sign waiver and release form. If a minor will not be accompanied by a parent or legal guardian to a race, the Minor Release may be completed by the parent or legal guardian off-site. The original must be brought to the race site, printed in color, notarized and should not be folded.
Physical Exam: All drivers “at the age of 60 years or older” must have a physical examination dated within the last 2 years. Use the APBA or other approved physical form. Please bring the completed medical form with you to registration if current physical is not reflected on your APBA card.
Safety Inspection: All boats must be inspected prior to being allowed on the water. Inspections will take place on Friday from 9:00 AM to 4:30 PM. It is the responsibility of the Owner/Driver to contact an inspector. Have all safety equipment available. You must sign the APBA safety inspection sheet with APBA number or APBA single event membership number. All boats must meet the current APBA inspection requirements as specified here:
Driving Safety: Only owners of boats will be allowed to drive unless they have prior approval from the event referee at the event. All drivers and riders must sign the APBA Entry Form for the boat in which they are riding. Any unsafe operation of boats will be addressed.
Consumption of Alcohol: No one shall participate on the water, nor shall any official serve in an official capacity, after having consumed alcohol or controlled substances or while intoxicated. Consumed shall mean from midnight before the day of the event. Crew members are not exempt. Direct any driving safety concerns to the Drivers’ Representative at the event.
Personal Safety Gear: Helmets and jackets must be consistent with APBA approved guidelines. Goggles, face shields or V&H approved eyewear required. Drivers must wear appropriate driving gear with long sleeves, long pants and closed toe shoes. All crew must wear closed toe shoes in the pits.
No inboard engines running with prop shaft connected.
No outboard engines running with propeller or hardware on prop shaft.
No smoking or alcohol permitted in the hot pit area during the event.
Only active APBA Drivers, Crews, and Officials allowed in the hot pit and launching area.
Please stay aware at all times. No pets in the hot pit area.
Thank you for your participation. Be Safe. Have a great time!
VINTAGE BOAT INFORMATION FOR THE ANNOUNCER Boat Name (announcement) * Boat Number (announcement) * Owner/Driver City State Country Boat Description: Year Mfd: Boat Description: Length: Boat Builder/Designer Boat Model Boat Class Original Engine Make: HP: #Cyl.: Displacement: Current Engine Make: HP: (current) #Cyl.: (current) Displacement: (current) Please provide a short biography of yourself and the boat. Please provide a few color pictures of yourself and the boat.
Please enter the full amount (number only) for each fee/donation that applies.
Single Event APBA Membership $25.00
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