Contestant Registration DEADLINE MARCH 15, 2011
I AM REGISTERING AS
a Mechanic
a Paratransit Operator
Van
Cutaway
First time participant (Rookie)?
CONTESTANT BIOGRAPHY Please enter the information below. This information will be used in preparation of news and publicity releases and other printed materials. It is important that the information be correct and fully completed. Please fill out one form for each participant. Enter N/A for items that do not apply.
First name
Middle initial
Last name
Length of service
Seniority date
Roadeo "nickname"
Spouse/S.O. name
How many years together?
Names/ages of children
Names/ages of grandchildren
Awards
Hobbies
PROPERTY INFORMATION List complete name of transit system / organization where you are employed
Transit system
(Not Listed) Baker County COA (Macclenny) BCT (Pompano) Big Bend Transit, Inc. (Tallahassee) Calhoun County Transit (Blountstown) CAT (Collier) Clay Transit (Green Cove Springs) CTD CUTR (Tampa) ECAT (Pensacola) FACTS FDOT (Tallahassee) FPTA (Tallahassee) Gulf County Transportation (Port St. Joe) HART (Tampa) JTA (Jacksonville) J Trans (Marianna) KWDOT (Key West) LAMTD (Lakeland) LeeTran (Ft. Myers) Levy County Transit (Bronson) Liberty Transit (Bristol) LogistiCare (Miami) LYNX (Orlando) Marion Transit, Inc. (Ocala) MCAT (Bradenton) MDT (Miami) MMG Transportation (Tampa) MV Transportation - Division 65 (Gainesville) Nassau County COA (Fernandina Beach) Palmtran (WestPalm) PCPT (Pasco) Polk County Transit Service (Bartow) PSTA (Clearwater) RTS (Gainesville) SCAT (Cocoa) SCAT (Sarasota) SFRTA (Pompano) StarMetro (Tallahassee) St. Johns County COA (St. Augustine) SunTran (Ocala) Votran (Daytona Beach)
Not Listed
(Type in if not listed)
Address
City
State
Zip code
Telephone
(1234567890)
Fax
SHIRT SIZE
Small
Medium
Large
XL
XXL
XXXL
4XL
5XL
ADDITIONAL INFORMATION
I plan on attending the Awards Dinner
My Spouse/S.O. will also attend the Awards Dinner
