the 2015 Dog House Race Registration Form

th
5 ANNUAL BLUEBONNET
DOG HOUSE RACE
SUNDAY, APRIL 12, 2015
Burnet Square (in front of the stage)
Check in begins at 12:00 noon
(all racers must be present at check in)
Race begins at 12:30 pm
_____________________________________________________________________________________
Keep this portion for your records!


LENGTH OF COURSE: Approximately 200 yards
DOG HOUSE RACER SPECIFICATIONS: All Dog Houses must be at least 38” frame and wheel
base. The Dog House can be made of wood or metal but can’t have a steering mechanism. All
Dog Houses can only have 2 Wheels (20” max). The wheels must be fastened stationary to the
Dog House. Wheels can’t turn to the right or left. Push bar needs to extend in front of the Dog
House and there can only be 3 runners at a time.
(A Dog House Racer will be available for use & on display at the Burnet Chamber of Commerce office – 229 S. Pierce Street)





PARTICIPANTS: Each team must have their own Dog House to race. Each team will have 1
rider and 3 runners. All participants must wear an approved bike helmet.
SPONSOR: The sponsor can be a Company, Club, Organization, Business, or group of
individuals. The Sponsor can advertise by the use of signage on the Dog House.
RACE FORMAT: There will be a preliminary round. Each team will be timed and the fastest
teams will advance to the final round. The race will be a down and back type race.
AWARDS: Participants from around the state will compete again this year for bragging rights,
prize money, and trophies.
ALL OTHER QUESTIONS PLEASE CONTACT: The Burnet Chamber of Commerce, 512.756.4297 or
[email protected].
Bluebonnet Dog House Race Registration Form
Entry Fee $20.00 per team/$10.00 student team
Payable to Burnet Chamber of Commerce
101 N. Pierce St., Ste. 1 – Burnet, Texas 78611
Registration Deadline--Monday, April 6th, 2015
Team Name:
Name of Organization:
Contact Person:
Address:
Phone #/Email:
_________________________________________________
_________________________________________________
_________________________________________________
_________________________________________________
_________________________________________________
Team Captain:
_________________________________________________
Telephone #: _________________________
Email: _____________________________
Parent’s Signature (if participant is under 18 years old): ____________________________________
Participant # 2:
_________________________________________________
Telephone #: _________________________
Email: _____________________________
Parent’s Signature (if participant is under 18 years old): ____________________________________
Participant # 3:
_________________________________________________
Telephone #: _________________________
Email: _____________________________
Parent’s Signature (if participant is under 18 years old): ____________________________________
Participant # 4:
_________________________________________________
Telephone #: _________________________
Email: _____________________________
Parent’s Signature (if participant is under 18 years old): ____________________________________
PARTICIPANT RELEASE AND ACKNOWLEDGEMENT
I agree to abide by the rules as set forth by the BLUEBONNET FESTIVAL Committee. Furthermore, I hereby
release and forever discharge the BLUEBONNET FESTIVAL from any responsibility or liability for injury or accident
loss, claims, damage or theft. It is further agreed that this applicant shall maintain his/her activities and business
practices in compliance with the laws of the State of Texas and the City Ordinances of Burnet and Burnet County.
Applicant understands that violation or non-compliance of same may result in immediate expulsion of Applicant and
his/her team from the Festival.
PLEASE SIGN AND RETURN THIS PAGE WITH PAYMENT TO:
Burnet Chamber of Commerce
101 N Pierce, Ste 1
Burnet, Texas 78611
Telephone: 512-756-4297 Fax 512-756-2548
Signed: ____________________________________________________ Date:_____________________