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Teams Registration Form September 24, 2016 8:00 Am

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7th Annual BPCC 100 Go-Kart Race Teams Registration Form This event is a fundraiser to support students attending Bossier Parish Community College September 24, 2016 8:00 a.m. – 4:00 p.m. On the FRONT LOT of Bossier Parish Community College Get it on or get it off the track! With high exposure on the front lot of the campus, get ready to have even more fun at the 7th annual BPCC 100 Go-Kart Race. Experience all the track-side excitement of race after race, revving it up in the pits with other teams, and gulping down tasty food and drinks from the food court. There’s even fun for the little ones in an all NEW “Simple Church Kids Pit Stop”. This could be your year to take home that coveted checkered flag and HUGE 1st Place Trophy! Shift into high gear and register your team TODAY! Teams draw for pit positions based on order of entry forms received. Secure your spot in this major event of 2016-the BPCC 100. Your TAX DEDUCTIBLE Entry Fee ($1,500) is due by September 16, 2016. (Choose One) NEW ENTRY:$2,000 – Car Purchase (yours to own) RETURNING ENTRY: (Existing Car) $1,500 –Entry Fee $1,500 – Entry Fee (Fees cover purchase of car, shipping fees, inclusion in press promos, meals for 6 at “Teams Meeting,” welcome packets for race team, complimentary treats in Teams Hospitality Area race weekend, up to 12 team passes) Each team required to have at least one FULL-FACE SAFETY HELMET. Mail to: Fax to: (Fee covers inclusion in press promos, meals for 6 at “Teams Meeting”, welcome packets for race team, complimentary treats in Teams Hospitality Area race weekend, up to 12 team passes). Each team required to have at least one FULL-FACE SAFETY HELMET. BPCC Foundation, Inc., 6220 E. Texas Street, Bossier City, LA 71111 318-678-6417 Email to: [email protected] Phone: 318-678-6010 Billing Information Company Name: _____________________________ Team Information Car Number:__________ (Required) Billing Contact: ______________________________ Team Name:_________________________________ Billing Address:______________________________ Team Captain’s Name:________________________________ ___________________________________________ Phone & Email:_______________________________________ Phone: ____________________________________ Driver’s Name: ______________________________ (Home) (Cell) E-Mail: _________________________________ Pay ONLINE at www.bpcc.edu/foundation Payment included:$_________Check #:_____ “Please invoice me” at the address listed above. (Plan your monthly payments below) Phone & Email: ______________________________________ Other Team Members: (6 Pit Crew Max., 18 Max. on Team) __________________________________________ __________________________________________ Optional: Payment Schedule: April:$________ May: $_______ June:$________ July:$_______ August:$_____ Mandatory: ALL Racing teams must be represented at the annual RACE TEAMS MEETING on Sep 9, 2016 at 6:00 p.m. BPCC 100 2016 Go Kart* Specs View go-carts at www.bpcc100.org (For New Car Purchases) ENGINE: 6.5 HP Tecumseh - 4 cycle gas engine with recoil start standard. * BODY: Replica fiberglass body in various colors. Standard Colors are: Red, Blue, Yellow, Green, Black, White, TIRES: 13 x 5.00 x 6 tires and tube with mountable steel rims and sealed bearing hubs. CHASSIS: Precision jig welded all steel chassis painted black with extra-strength 1” steel tubing. CLUTCH: Fully automatic centrifugal clutch with 10 tooth and #41 chain drive sprocket and 6:1 gear reductions. GRAPHICS: Custom Vinyl replica multi-color graphics using state of the art computers and printing equipment (in house). HUBCAPS: Specially made rims allow for custom made, durable, carbon plastic hub caps on most models. SAFETY SWITCH: Driver operated safety on-off switch. Also, foot operated safety throttle and brake controls. BRAKES: 4" Band is installed on rear axle and pedal operated in front by a connecting straight rod. Car Size: Length: 91” - Wth: 34.5” - Hght: 45” - Wgt: 225lbs Rear Drive: Single Wheel drive system. Rear Sprocket: 60 tooth sprocket. * Based on availability. BEFORE any modifications are made to karts, call Tech Director, Trence McCoy All car styles are GENERIC and are not associated with any licensed products. This event is NOT affiliated with NASCAR®. For off-road use only, not street legal (Parades Only). Always wear an approved helmet and eye protection when riding! Read manufacturer's supplied materials before operating! ****NOTICE: FULL FACE SAFETY HELMETS REQUIRED FOR ALL DRIVERS**** 2016 Race Management Team Dr. Rick Bateman, Jr. Chancellor Race Management: Dir. of Institutional Advancement Stephanie Rogers: [email protected], Race Kart Orders: Project Coordinator DeLecia Washington: [email protected] Teams Coordinator, Parts, Teams Dinner: Business Rep. Sean Downing: [email protected] or (318) 455-3391 Race Technical Director: Trence McCoy, Bossier Technical School [email protected] (Contact Mr. McCoy for Race Rules and allowable adjustments to your BPCC 100 car) Sponsorships: Stephanie Rogers: [email protected] Race Promotions/Media/Signage: BPCC Public Relations Dir., Tracy McGill: [email protected] Vendor Management/Setup: Student Life Dir. Marjoree Harper: [email protected] For more 2016 Race information, go to www.bpcc100.org