Pinewood Derby Registration

Please register below for the Pinewood Derby Competition!

Pinewood Derby Registration

Name *

First

Last *

Last

Employee # *

Email *

I do not wish to compete but I want to donate:

$10

$15

OtherOther

Location (choose only one): * EC Portland – Corporate Office: July 17Albany - June 14Intel - June 19EFS - June 26Tillamook - June 20thCentral Oregon - June 21stSeattle - June 17thWalla Walla - July 15th

Check boxes for the below options:

$15.00, I would like to have a basic car kit provided. Basic block kit includes block, wheels, and axles.

$10.00, I will be purchasing my own car kit or racing an existing car that I have already built.

Car Name

“I agree” check box confirming the below: *

Disclaimer – Registration or donation fee will be taken out of your paycheck

Click Here to Read the Rules & Guidelines

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