2016 WISCONSIN STATE TRUCK DRIVING CHAMPIONSHIPS FACTS

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1 2016 WISCONSIN STATE TRUCK DRIVING CHAMPIONSHIPS FACTS WHEN: May 20-21, 2016 WHERE: Chippewa Valley Technical College, 4000 Campus Road, Eau Claire, WI ELIGIBILITY: Any driver domiciled in Wisconsin who regularly performs the duties of a professional truck driver; has an accident-free record of at least 12 months prior to truck driving championships competition; meets DOT physical requirements and must have been employed by one employer continuously for 12 months or for the same period engaged as an independent contractor with one carrier prior to the driving championships. ENTRY FEE: $125 per driver contestant - Includes 2 banquet tickets for the driver. Entry deadline is Friday, May 6, No registration forms or changes in the class the driver is competing in will be accepted after this date. (Entry forms and materials will be sent only upon receipt of entry fees.) Register your drivers at witruck.org/safety/wtdc. CLASSES OF COMPETITION: Straight Truck, 3-Axle Van, 4-Axle Van, 5-Axle Van, 5-Axle Tank, 5-Axle Sleeper Berth Van, 5-Axle Sleeper Berth Flatbed (the champion of this class will use a day cab at the ATA National Truck Driving Championships) & Twin Trailer. No Step Van Event. AWARDS: First, second and third place in each class; Team Award; Pre-Trip Inspection Award; Grand Champion; Rookie-of-the-Year Award and Ray Newberry Mr. Safety Award. The Champion from each class of competition is eligible to compete in the ATA National Truck Driving Championships to be held in Indianapolis, IN on August, 10-13, DRIVING CHAMPIONSHIPS HEADQUARTERS: Chippewa Valley Technical College, 4000 Campus Road, Eau Claire, WI. School contact: Karl Pinter cell DRIVING CHAMPIONSHIPS CHAIRMAN: Scott Mulqueen, Birchwood Transport, x smulqueen@bwfoods.com Please volunteer at witruck.org/safety/wtdc WMCA STAFF LIAISON: Susan Webb, Phone: (608) ext 12, Fax: (608) sfwebb@witruck.org SCHEDULE: - Tentative - Contestants: No cellphones or other devices are allowed in any part of the competition Friday, May 20 Chippewa Valley Technical College Energy 4:00 p.m. Registration & Equipment Viewing- All Classes Room TBA & Parking Lot 5:00 p.m. Judges Meeting Room TBA 5:00 p.m. Drivers Meeting/Course Walk Through/Written Exam Room TBA Saturday, May 21 6:15 a.m. Judges Meeting Near Concessions 6:15 a.m. Pre-trip Inspection Judges Assemble Pre-Trip Area 7:00 a.m. Contestants Assemble Driving Course 7:00 a.m. Presentation of Colors & National Anthem Driving Course 7:15 a.m. Driving Competition Begins Driving Course 7:15 a.m. Vehicle Pre-Trip Inspection Begins Pre-Trip Area 6:30 p.m. Hospitality Hour The Plaza Hotel & Suites 7:30 p.m. Awards Banquet The Plaza Hotel & Suites (Over Please)

2 BANQUET LOCATION: BANQUET TICKETS: The Plaza Hotel & Suites 1202 W. Clairemont Ave. Eau Claire, WI Hospitality Hour 6:30 p.m. Awards Banquet 7:30 p.m. Everyone must have a ticket for the banquet. Two banquet tickets are provided with the driver registration. Extra tickets may be obtained for $35 per person through May 6, 2016 Wisconsin Motor Carriers Association, P.O. Box 44849, Madison, WI Phone (608) ext 12 Tickets will be given to drivers at registration. Company preordered tickets can be picked up at the driver s registration table or at the concession stand the day of competition. Banquet accommodations have been tight in recent years due to last minute banquet registrations. Please make your reservations by May 6 so we have an accurate count. 12:00 noon is the deadline to get extra banquet tickets at the concession stand the day of competition. ACCOMMODATIONS: A block of rooms is reserved for those involved in the Wisconsin Truck Driving Championship at: The Plaza Hotel & Suites, 1202 W. Clairemont Ave, Eau Claire, WI. Reservations can be made by calling the hotel at prior to April 18, Refer to the Wisconsin Motor Carriers Association Group Block #9078. Room rate for reservations in this block is $ The room block will be released after April 18 and no guarantee of the room rate can be made. Metropolis Resort, 5150 Fairview Drive, Eau Claire, WI. Reservations can be made by calling the resort at prior to April 20, Refer to the Wisconsin Motor Carriers Association. Room rate for reservations in this block is $ Rate includes 4 passes to waterpark. The room block will be released after April 20 and no guarantee of the room rate can be made. Be aware that hotel reservation dates are firm and any unreserved rooms will be released after the dates list above..

3 2016 Truck Driving Championships & Step Van Driving Championships Entry and Release Form (Be sure to complete Driver Information Sheet on reverse side) Contestant s Name: Preferred Nickname: Competition State: Hosting State Assn.: Employer: Class of Competition (check one) Straight Truck (Single 2-axle vehicle) 3-Axle Tractor-Semitrailer (2-axle tractor & 1-axle 28 semitrailer) 4-Axle Tractor-Semitrailer (2-axle tractor & 2-axle 53 semitrailer) 5-Axle Tractor-Semitrailer (3-axle tractor & 2-axle 53 semitrailer) 5-Axle Sleeper Berth Tractor-Semitrailer (3-axle sleeper tractor & 2-axle 53 semitrailer) Tank Truck (3-axle tractor & 2-axle tank semitrailer) Flatbed (3-axle tractor & 2 axle flatbed semitrailer) Twin Trailers (2-axle tractor & set of 28 semitrailers) Step Van (Step or Package Van) CERTIFICATION BY EMPLOYER. I hereby certify that I am aware of the provisions of Chapter V, Truck Driving Championships Eligibility Rules, of the ATA Truck Driving Championships Rules and Procedures, State and National and applicable appendixes including the Step Van Driving Championships rule summary; that the contestant named herein is eligible to compete under these rules; that the contestant s employer is a member of an ATA-affiliated State Trucking Association, and that all information furnished about them is true to the best of my knowledge and belief. Employer Mgr. s Signature (NOT driver s): Mgr. Title: AGREEMENTS AND RELEASE In consideration of my being permitted to participate in the ATA s National and/or its affiliates Truck Driving Championships (TDC) or Step Van Driving Championships (SVDC) and be eligible for awards offered to participants, I hereby stipulate and agree to the following: 1. I acknowledge that I am not in the employ of ATA or a State Trucking Association. 2. Both as to myself and my heirs and personal representatives, I release ATA, its directors, employees, agents and/or any of its affiliates and the State Association noted above, its directors, employees, agents and/or any of its affiliates from any and all liability and any right of action that may arise from any damage or injury which I may receive while attending or participating in said State or National TDC or National SVDC. 3. I grant the State Association noted above and ATA and its designated agencies exclusive right to make use of information about myself and of photographs supplied with this entry form, along with photographs subsequently taken under ATA s direction, in publicity and advertising activities. I further agree to make myself available for publicity enterprises arranged by ATA, with newspaper and magazine writers and radio and television personnel. 4. I grant State Association noted above and ATA the right to exam my CDL and MVR for the purposes of determining my eligibility to compete at both the State and National TDC or SVDC. 5. I will be bound by all orders, rules and regulations governing ATA s National and/or its affiliates TDC or SVDC while participating in said competitions. CERTIFICATION BY CONTESTANT. I certify that during the 12 months prior to the 2016 TDC: 1. I have been continuously employed as a truck or step van driver by my present employer [exception: 11 of 12 months if previous employer went out of business and all other eligibility requirements are met]; and 2. I have driven and performed the regular duties of a truck driver or step van driver for at least 11 of the 12 months, and that my regular duties of a truck driver or step van driver constituted not less than 60% of my work hours and at least 1200 hours annually. 3. I have not been involved in a fleet motor vehicle or motor carrier vehicle accident in the course of such employment. 4. I have the proper class Commercial Driver s License (if a SVDC applicant, not required), plus required endorsement(s) for the class of competition indicated above. 5. That I hold a CDL from or have been occupationally domiciled in the state of. Occupational domiciled means the terminal, garage or other operating base from which the driver normally and usually works and/or is supervised. 6. That the class of competition I am entering in 2016 is not a class in which I won at the state or regional TDC and/or competed at the National TDC in 2014 and 2015 or 2013 and 2014; or if I am entering the step van class, I did not win the state or regional TDC and/or compete at the National SVDC in the step van class in 2014 and I understand that after winning two consecutive years at the State TDC and/or competing two consecutive years at the Nationals in that same class of competition, I am not eligible to compete in that same class for one year if a step van competitor and two years if a competitor in any other class. 7. I further certify that I have not received any form of pay, bonus, prize or other consideration for time spent in practice as set forth in the ATA Truck Driving Championships Rules and Procedures, State and National. 8. I agree that if I compete and win the State TDC, that I will compete at the National TDC or SVDC (as applicable), unless disqualified or am detained due to a medical emergency, in which case I will notify the applicable State Trucking Association immediately. 9. I acknowledge that any misstatement made with respect to my eligibility for the TDC or SVDC competition may result in the forfeiture of my right to compete or in my disqualification from said competition. Driver s Signature: Attach a photocopy of your MVR showing: 1) Your name and/or signature; and 2) Class of CDL (or License if SVDC applicant) Also attach a copy of your CDL. Form TR-1 American Trucking Associations (Rev. 12/15)

4 2016 ATA Truck Driving Championships & Step Van Driving Championships Driver Information Form Contestant s Name: Home Address: (first) (middle) (last) (number-street) (city) (state) (zip) Class of Competition: Home Phone: ( ) Cell Phone: ( ) Competition State: Employer: Married: Yes No Spouse s Name: Employer Main Office Address: Children s name(s)/age(s): (number-street) (city) (state) (zip) Will Spouse attend the State TDC? Yes No National TDC? Yes No Important: Company President: List unusual experiences, aid to motorists or at accident scene, acts of heroism: (first) (middle) (last) Safety Director: (full name) ( ) Awards received: Safety Dir. Address: (number-street) (city) (state) (zip) Hobbies: Terminal Manager: Strangest cargo ever hauled: (full name) ( ) Do you volunteer? Where/how: Termin. Mgr Phone #: ( ) T-shirt size? Jacket Size? Contestant s How many times have you participated in a State TDC? Home Terminal: How many times have you participated in a National TDC or SVDC? (number-street) (city) (state) (zip) Below and some of above Info is used at Nationals to determine ND Professional Excellence Award eligibility. Length of Service Length of Service Previous State/National TDC or SVDC in which you competed or volunteered: with Present Employer: in Trucking Industry: Year State Competed Class Competed Rank Volunteer Role Number of Years with No-Accident Record: Lifetime Safe Driving Miles: Number of Accidents: Preventable: Non-Preventable: Date of Last Accident: Usual Run: Local Peddle Line-haul Is your company a member of the State Trucking Association? Yes State: No (Please attached separate history sheet if additional space is needed for above listing) Have you ever been a member of America s Road Team? Yes Years: No Have you been on the state Road Team? Yes Years: No Are you interested in serving on America s Road Team? Yes No Have you been on a company Road Team? Yes Years: No For State and National publicity purposes include: Recent 2 X 3 (or larger) head and shoulder photograph (may be ed as instructed by State Championships Committee or hosting State Trucking Association), and The name of your hometown newspaper: and the nearest large city to your hometown: Information sheet must be complete to be eligible for National competition! Form TR-2 - American Trucking Associations (Rev. 12/15)

5 Help Wisconsin Council of Safety Supervisors Help our Troops Our Troops protect Our FREEDOM. Let's show our support and say thank you. We will have collection bins at the WI Truck Driving Championships In addition to the standard non-perishable foods, treats, games, etc, please consider a monetary donation to help offset the postage & packing expenses. Write a letter to the soldiers. Have your friends, relatives, kids, classmates, etc write letters that will be sent too. Some care package donation items: Food Items Instant coffee/tea many flavors now, Powdered drinks Jerky/Meat Sticks, Crackers and Easy Cheese, Chips (small bags stay fresher longer) Candy (hard/m&ms are great don't want it to melt), Chewing gum, Lollipops, breath mints Snack cakes, rice krispie treats, micro popcorn, granola bars, power bars, dried fruit, Chex mix Canned soup/meats, tuna, spices, salsa, dry cereal (small serving boxes), oatmeal, Fast food condiments (hot sauce, ketchup, mustard, salt & pepper packets, relish, mayo We need Soldiers information: Soldiers name, mailing address, branch of service Please include: Your name, , and phone Practical Phone Cards Clorox type wipes, Baby wipes, sunblock, lotion, bug spray, Razors, shaving cream (non-aerosol), Shampoo, Conditioner, After shave lotion, Soap, bodywash, mouth wash, deodorant, Eye drops, lip balm, dental floss, nail clippers & files, Contact lens cleaner, hand sanitizer, q-tips, small mirrors Baby powder, foot powder, combs/brushes, cotton balls Feminine hygiene products, hair bands & clips, Body sprays Candles, Hair spray (pump), hair gel, perfume Fun & Silly Stuff Stress balls, Stamps, paper, envelope, pens, phone cards, paperback books or magazines, flash drives, Disposable cameras, puzzles, journals, yo yo's, squirt guns,frisbees, dartboards, small flash lights, hacky sacks, jump ropes Electronic hand held games, mini fans, jokes and comics, balloons, Hats (baseball type), bandannas, socks, blankets, slinkys, Single sheet sets, key chain games, sidewalk chalk, miniature foam footballs and basketballs

6 How to get to CVTC Eau Claire Campuses Eau Claire Campuses: Clairemont Campus, Gateway Campus, and West Campus Gateway Campus To Elk Mound Manufacturing Hwy 29, Hwy 124, & Hwy Alpine Road... Applied Technology Center 2322 Alpine Road To Minneapolis & St. Paul BUSINESS 53 T BUSINESS Energy Campus Road West Campus Business W. Clairemont Avenue Emergency Service Campus Road West Annex East Annex Clairemont Campus Craig Rd. Diesel Arbor Court 53 University Dr. Mondovi Rd. Short St. Health W. Clairemont Avenue Map is not to scale. Revised 3/15 > For detailed directions visit

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