The North Carolina Trucking Association Technology & Maintenance Council Top Tech Challenge DATE/LOCATION: Wednesday April 22nd, 2015 ELIGIBILITY/REGISTRATION: You must be employed by a member of the North Carolina Trucking Association. Your company must also be a current member of the North Carolina Trucking Association Technology & Maintenance Council. Contestants who wish to compete in the 2015 Top Tech Challenge must have the registration form and payment submitted by April 1st. Registration cost is $50.00 per contestant. You may also register on line at www.nctrucking.com EVENT DAY SCHEDULE: Check-in will begin at 7:30 followed by a contestant group orientation meeting at 8:15am. The Top Tech Challenge will begin at 8:30am. Each contestant will compete in 10 individual skills stations and will have 30 minutes to complete each station. There will be a break from 10am to 10:15am, lunch from 11:45 to 12:30pm and another break from 1:30pm to 1:45 pm. The awards ceremony will begin at 4:00pm. Lunch is included for all contestants as part of your registration fees. ATTIRE: Each contestant should would work appropriate long pants and work shoes meeting industry safety standards. Official contestant shirts will be given out at check-in and must be worn during the competition. Other safety related items such as safety glasses and any needed tools, manuals and equipment will provided as needed by each individual station. CONTESTANTS WITH SPECIAL NEEDS: Every effort will be made to accommodate contestants with special needs. These needs must be identified on the registration form prior to the competition. PRIZES: Prizes will be awarded for the highest total combined score in all stations in addition there will be prizes awarded for individuals achieving the highest score at each individual station. 1st place – Top Tech Challenge 1st place trophy, all-expense paid trip for two to the 2015 ATA TMC SuperTech competition in Orlando FL at the Walt Disney Swan and Dolphin Resort & a prize package 2nd place – Top Tech Challenge 2nd place trophy and special prize package 3rd place – Top Tech Challenge 3rd place trophy and special prize package Individual station winners – Prizes to be determined Official Top Tech Challenge Entry Form: Contestant Name: ___________________________________________________ Shirt size: ________ Member Company: _______________________________________________________________________ Contact: _______________________________ Phone Number: ________________________________ Billing address: ___________________________________________________________________________ City: __________________________________ State: __________ Zip Code: ___________________ Check enclosed for the total amount of $ _____________________ Charge: ___ Visa ___ Master Card ___ American Express Card Number: __________________________________________ Amount: $ _________ Expiration: __________ Authorized card signature: ______________________________________________________ REGISTRATION DEADLINES – registration and payments must be received no later than: April 1st, 2015 By fax: Online: By mail: 919.281.2747 www.nctrucking.com North Carolina Trucking Association 10900 World Trade Blvd Raleigh, NC 27617 CANCELLATION AND REFUND POLICY: Registration fees will be refunded if the notice of cancellation is received in writing by the North Carolina Trucking Association no later than the close of business on April 1st, 2015. No refunds will otherwise be given regardless of attendance. AGREEMENT AND RELEASE: In consideration of being permitted to participate in the North Carolina Trucking Association Technology & Maintenance Council Top Tech Challenge and to be eligible for awards offered, participants hereby stipulate and agree to the following: 1. Contestant acknowledges that he or she is not in the employment of the North Carolina Trucking Association. 2. Both as to him/herself and his/her heirs and personal representatives, contestant releases any right of action that may arise from any damage or injury which may be incurred while attending or participating in said Top Tech Challenge. 3. Contestant grants NCTA TMC and its designated agencies exclusive rights to make use of information about him/herself, along with photographs subsequently taken under NCTA TMC direction, in publicity and advertising activities. Contestant further agrees to make him/herself available for publicity enterprises arranged by NCTA TMC, with newspaper/magazine/media writers and radio or television personnel. 4. Contestant will be bound by all orders, rules and regulations governing the NCTA TMC Top Tech Challenge while participating in said competition. Signature: _____________________________________________ Date: ____________ If you have any questions please contact Benjamin Phillips at [email protected]
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