HILL CLIMB REGISTRATION
F.A.S.T. WEST COAST FLAT HILL CLIMB

NAME:_____________________________________________________________

STREET:___________________________________________________________

CITY:____________________________________STATE:_______ZIP:________

TELEPHONE______________________ e-mail____________________________

INSURANCE CARRIER_______________________________________________

POLICY #__________________________EXP. DATE_______________________

ENTRY FEE $25.00 -- Make checks payable to F.A.S.T.
Send your entry to; Phil Farber, 6002 Lewis Lane, San Luis Obispo, CA 93401

PARTICIPANT INFORMATION:

____1) STOCK; strictly stock, classes will be divided into weight groups.
____2) MODIFIED; street driven cars, classes will be divided into flathead and OHV groups
____3) SPEEDSTER; speedster or modified production bodies, flathead and OHV groups
____4) HISTORIC; vintage race cars with appropriate engine, trans, rear end, etc.
____5) TIME ONLY; cars powered by non Ford blocks. Pre 1935 4 cyl only (Chevy, Essex, etc.)

All entrants must comply with the GENERAL REQUIREMENTS, SAFETY ITEMS and CLASS RULES as stated.
Refer to F.A.S.T. #4-2007 for rules and classes.

DESCRIPTION OF YOUR CAR: (in order to classify your car correctly, please be specific)
1929 coupe, 1931 roadster, etc. _____________________________________________________
DESCRIPTION OF YOUR ENGINE:
A or B block, aftermarket flathead, overhead valves or cam(s), etc.
___________________________________________________________________________
DRIVE TRAIN: Type of transmission and rear end: _____________________________________
OTHER:
Non-stock frame, suspension, etc.________________________________________

All cars must pass a basic inspection and all drivers must sign a waiver of release before being allowed to run on the
track. Some safety equipment may be required, as stated in F.A.S.T. rules

Starting at 9:00 a.m. you will be able to make as many trial or tune up runs as time permits. The track is 1/10th mile
long. Each run will be electronically timed and recorded. There will be an hour lunch break around noon. Immediately
after lunch the official runs will start and consist of two runs, the quickest of which will be your official time for the event.
If you have any further questions, please call Phil Farber at 805-544-8856, or e-mail at farbslo@charter.net

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I hereby release and hold harmless from any and all liability due to my/our attendance and participation
in this event the following: The Model A Ford Club of America (MAFCA); the F.A.S.T. chapter of
MAFCA; the host club(s), the property owners and the individual members of foregoing organizations.

SIGNED_______________________________________________DATE________________________