Minnesota s Truck Driving Championships June 10 & 11 YRC Freight 12400 Dupont Avenue S Burnsville, MN 55337
2017 MINNESOTA TRUCK DRIVING CHAMPIONSHIPS REGISTRATION INFORMATION DATE: June 10 & 11, 2017 COMPETITION LOCATION: YRC Freight 12400 Dupont Avenue S Burnsville, MN 55337 AWARDS LOCATION: Best Western Premier Bicollet Inn 14201 Nicollet Avenue Burnsville, MN 5537 DISCOUNTED HOTEL ROOM RATES: Best Western Premier Nicollet Inn ($129.99) 14201 Nicollet Avenue Burnsville, MN 5537 Call (952) 435-2100 and mention MTA group AmericInn Burnsville ($105) 14331 Nicollet Court Burnsville, MN 55306 Call (952) 892-1900 and metion MTA group ELIGIBILTY: A city or road driver who drives for, or leases to, a common, contract, specialized or private carrier member of MTA shall be accident-free from June 1, 2016 and continuously employed by the entering employer for at least 12 months prior to entry and shall have driven and performed the duties of a professional truck driver for 11 of the 12 months prior to entry. Proof of CDL and any endorsements must accompany entry forms. Drivers must be permanent residents of Minnesota or be occupationally domiciled in Minnesota. All entries must include the following: completed Minnesota Registration Form completed ATA TR-1 & TR-2 Entry Forms current MVR (dated no earlier than March 1, 2017) copy of CDL (front & back) paid entry fee ENTRY FEE: $125 per driver includes competition entry, Saturday lunch, drivers award ceremony ticket and one (1) guest ticket. Upon receipt of the entry forms and payment, MTA will supply an ATA Facts for Drivers book and shoulder patches for each driver entered. The state of Minnesota patch should be worn on the left shoulder and the ATA patch on the right shoulder. Additional patches are available at a nominal fee. REGISTRATION DEADLINE Entry deadline is May 19, 2017. No registration forms or changes in the driver s class of competition will be accepted after this date. CLASSES OF COMPETITION: Step Van, Straight Truck, Three-Axle, Four-Axle, Five-Axle, Tank Truck, Flatbed, Twin Trailer and Sleeper Berth. NOTE: Companies may enter a maximum of three (3) drivers in each class of competition. AWARDS: First, second and third place winners will be presented with plaques. First place winners also have the opportunity to represent Minnesota in the ATA National Truck Driving Championships in August. Additional event awards include: d Grand Champion Award d Howie Johnson Memorial Trophy d Charlie Smith Volunteer Award d Rookie of the Year Award d Small Team (3-5) d Large Team (6+) d Vehicle Inspection Award d Written Knowledge Test Award ADDITIONAL ITEMS OF NOTE: R Operators must use their own equipment in company tryouts and in practice runs. The equipment used in the competition will be arranged for by the Minnesota Truck Driving Championships (TDC) committee. R No driver may practice on company time or be paid for practice time. Violations will disqualify a company from participation. Drivers should be encouraged to practice on their own time. R Companies are urged to adhere to the practice of paying competing drivers for actual working days only. A driver SHOULD NOT BE PAID for the weekend of the Championships if they are regularly scheduled days off. QUESTIONS? Minnesota Trucking Association Phone: (651) 646-7351 E-mail: mta@mntruck.org Kim Heins, ProDrivers, Committee Chair Phone: (612) 354-8528 E-mail: kim.heins@prodrivers.com
2017 MINNESOTA TRUCK DRIVING CHAMPIONSHIPS ENCOURAGE YOUR DRIVERS TO REGISTER! Participating in any competition for the first time can be a nerve-wracking experience, but it doesn t have to be! Give your drivers an idea of what is expected of them during the competition and encourage them to register. The MN Truck Driving Championships (TDC) is a two-day competition. The top four drivers from each class, upon conclusion of the Saturday, June 10 running, will compete on Sunday, June 11. All contestants are expected to stay for the entire two-day event and support their fellow drivers. New contestants are not alone. Every year there are rookies that join the competition for the first time. Contestants are not allowed to have electronic communication devices (including cell phones) in their possession during the competition. The event includes a written test. The best method to study for the written test is to read the ATA Facts for Drivers book that is provided to each driver upon registering. During the first day of the competition, all drivers are required to do a pre-trip inspection. Your pre-trip inspection will be conducted on the vehicle class in which you are registered to compete. The driving portion of the competition requires that the driver proceed in a vehicle through a variety of obstacles in a course. Competitors will drive equipment that is randomly selected and all efforts will be made to secure like equipment in each of the classes. The Awards Ceremony is Sunday, June 11. Concessions are available throughout the weekend to contestants and spectators at a nominal fee. All proceeds support the Minnesota Truck Driving Championships. First place winners also have the opportunity to represent Minnesota in the ATA National Truck Driving Championships hosted by the ATA, August 8-12, 2017 in Orange County, Florida. DRIVER REGISTRATION CHECKLIST r Fully completed Minnesota TDC form r Copy of every driver s license (front and back) r Current MVR (dated no earlier than March 1, 2017) r Fully completed driver entry and release form (TR-1) r Fully completed driver information form (TR-2) including current address, number, email, etc. r Paid entry fee
2017 MINNESOTA TRUCK DRIVING CHAMPIONSHIPS REGISTRATION FORM Event Date: June 10 & 11, 2017 Location: YRC Freight Entry fee includes one (1) Facts for Drivers handbook, one (1) MN TDC patch, one (1) ATA patch, and two (2) award ceremony tickets for the contestant. Additional patches and banquet tickets may be purchased. NOTE: Companies may enter a maximum of three (3) drivers in each class of competition. Each driver must have the proper endorsement to compete in the desired class of competition and meet all other MTA Truck Driving Championships eligibility requirements. REGISTRATION DEADLINE: MAY 19, 2017 COMPANY INFORMATION Contact: Company: Address: City: State: Zip: Phone: E-mail: # of Competing drivers x $125. = # of extra ATA patches x $ 5. = # of extra MN patches x $ 5. = # extra Banquet Tickets x $ 25. = Total Due: r Yes, my company would like space for a tent. Maximum size is 10x10. PAYMENT METHOD Invoice me. Check enclosed (Payable to the MTA) Visa Mastercard Discover American Express Credit Card # Exp. Date: *CVO #: Name on Card: *The CVO # is a three or four digit number usually found on the back of your card. Please mail, fax or e-mail your registration to: Minnesota Trucking Association 2277 Highway 36 West #302, Roseville, MN 55113 Ph: (651) 646-7351 F: (651) 641-8995 mta@mntruck.org DRIVER INFORMATION ROOKIE? STRAIGHT TRUCK THREE-AXLE FOUR-AXLE FIVE-AXLE TANK TRUCK FLATBED TWIN TRAILER SLEEPER BERTH STEP VAN
2017 Truck Driving Championships & Step Van Driving Championships Entry and Release Form Contestant s Name: Competition State: 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) (Be sure to complete Driver Information Sheet on reverse side) Preferred Nickname: Hosting State Assn.: 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 includ-ing 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): 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. Mgr. Title: CERTIFICATION BY CONTESTANT. I certify that during the 12 months prior to the 2017 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 2017 is not a class in which I won at the state or regional TDC and/or competed at the National TDC in 2015 and 2016 or 2014 and 2015; 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 2015 and 2016. 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. 12/16)
2017 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: E-mail: Employer: Married: Yes No Spouse s Name: Employer Main Office Address: Important: (number-street) (city) (state) (zip) Children s name(s)/ age(s): Will significant other attend the State TDC? Yes No National TDC? Yes No Company President: List unusual experiences, aid to motorists or at accident scene, acts of heroism: (first) (middle) (last) Safety Director: (full name) (E-mail) Awards received: Safety Dir. Address: (number-street) (city) (state) (zip) Hobbies: Terminal Manager: Strangest cargo ever hauled: (full name) (E-mail) 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? Length of Service with Present Employer: Number of Years with No-Accident Record: (number-street) (city) (state) (zip) Below and above Info is used at Nationals to determine ND Professional Excellence Award eligibility. Length of Service Previous State/National TDC or SVDC in which you competed or volunteered: in Trucking Industry: Lifetime Safe Year State Competed Class Competed Rank Volunteer Role 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 For State and National publicity purposes include: Have you been on a company Road Team? Yes Years: No Recent 2 X 3 (or larger) head and shoulder photograph (may be e-mailed 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. 12/16)