Join the World s Largest Truck Convoy

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Join the World s Largest Truck Convoy Registration Packet For more information on the Nebraska Convoy contact: Katie Kellar, Special Olympics Nebraska, at 1-800-247-0105 or kkellar@sone.org, Roger Duering, Truck Convoy Coordinator, at 402-469-4348 or visit www.sone.org, under the Special Events Torch Run page

Join the World s Largest Truck Convoy An army of truckers and law enforcement officers will escort the World s Largest Truck Convoy from Hastings, NE to Grand Island, NE on September 16-17, 2016 to help raise money and awareness for Special Olympics. This year celebrates the 13 th anniversary of the Truck Convoy in Nebraska! All funds raised from the event will benefit Nebraska Special Olympics Athletes. The Truck Convoy will start at the Adams County Fairgrounds in Hastings and end at Bosselman Travel Center in Grand Island. To be part of the Convoy truckers simply donate a $100 entry fee, send a completed registration form to Special Olympics Nebraska and meet at the Adams County Fairgrounds in Hastings. Participants will be welcomed by Special Olympics athletes and their families, colleagues, law enforcement officers and the organizations that make up the trucking industry. The Truck Convoy is more than just a convoy, though, it s a great way for truckers and the trucking industry to be involved in the community, send a positive message about the trucking industry and interact with Special Olympic Athletes of Nebraska. While the Truck Convoy is on the 17 th, there are a lot events planned around the weekend of the Truck Convoy. On the 16 th there will be a picnic, outdoor games, a raffle and entertainment at the fairgrounds for all the Convoy participants, and athletes. Then following the Truck Convoy on the 17 th there will be a cookout for lunch, an auction and an awards ceremony at Bosselman s. Awards will be given to drivers in the categories of: Lead Truck, Largest Fleet, Farthest Distance Traveled and Athlete s Choice. Often times, participants find the events before and after the Truck Convoy to be the most fun and rewarding aspects of the event. TYPES OF VEHICLES REQUIRED Semi-trucks, truck/trailer combinations, large trucks, low-boys, dump trucks, flat beds, buses, large tow trucks, large box trucks, etc. All trucks entering the convoy must be of 10-GVW or larger. Please note: No Hazardous Materials or Trucks with Alcohol or Tobacco Names or Logos are Permitted. BE THE LEAD TRUCK If you wish to have your company's truck as the lead truck in the World's Largest Truck Convoy in the state of Nebraska, you may bid for this privileged position. Bidding for the lead truck will take place by emailing Katie Kellar at kkellar@sone.org. BIDS WILL ONLY BE ACCEPTED THROUGH EMAIL AND THE MINIMUM BID STARTS AT $500. You can check the status of the lead truck bid by logging onto www.sone.org and clicking on the Torch Run Special Events page. The bid will be updated daily as they are received. Bidding for Nebraska s lead truck is scheduled to end on September 6, 2016 at 5:00pm (CST).

PARTICIPATION LEVELS GUARDIAN SPONSOR $5,000 donation allows: Up to 50 entries in the convoy, one of which will be placed within the first 15 trucks. (First come, first served.) Dinner on the 16 th and lunch on the 17 th for corporate representative and/or participating drivers. Personal invitation to press conference and presentation of your company s contributions. Invitation to the Summer Games Heroes Reception in Omaha in May 2017. Company name on Convoy t-shirt Logo on annual Law Enforcement Torch Run retail t-shirts Logo with link and summary of support on Special Olympics Nebraska website GOLD SPONSOR $2,500 donation allows: Up to 25 entries in the convoy. Dinner on the 16 h and lunch on the 17 th for corporate representative and/or participating drivers. Presentation of your company s contributions. Invitation to the Summer Games Heroes Reception in Omaha in May 2017. Company name on Convoy t-shirt. SILVER SPONSOR $1,000 donation allows: Up to 10 entries in the convoy. Dinner on the 16 th and lunch on the 17 th for corporate representative and/or participating drivers. Presentation of your company s contributions. Company name on Convoy t-shirt CONVOY PARTICIPANT $100 allows: One entry in the convoy Dinner on the 16 th and lunch on the 17 th for the driver All amounts are deductible in accordance with applicable laws can be paid with cash, check or all major credit cards ALL donations at ANY level will be acknowledged for your support of Special Olympics. Schedule of 2016 Truck Convoy Events (subject to change) Friday, September 16 th All Events Held at Adams County Fairgrounds 3-8:00pm Registration & raffle/merchandise sales 5:00pm Press conference and media interview opportunities 5:30-7:00pm Games and other activities for Convoy participants, Special Olympics athletes, law enforcement, etc 6:00pm Dinner 6:30pm Presentations & entertainment 7:00pm Raffle (Special Olympics athletes only) Saturday, September 18 th Start in Hastings (Adams County Fairgrounds) & end in Grand Island (Bossleman s) 7:30am Registration resumes 8:45am Driver's meeting 9:15am Opening ceremony 9:45am Driver's to their trucks 10:00am Convoy departs 11:00am Arrive at Bossleman s for lunch, awards & raffle/ merchandise sales 12:00pm Auction

WORLD S LARGEST TRUCK CONVOY REGISTRATION FORM Entries should be paid in advance to guarantee a position. A copy of proof of insurance of participating trucks should be submitted with this form at time of registration. SPONSORSHIP LEVEL I, or my company, wish to participate as: Guardian Sponsor - $5,000 (# of trucks: ) Gold Sponsor - $2,500 (# of trucks: ) Silver Sponsor - $1,000 (# of trucks: ) Convoy Participant - $100 Private Donation $ COMPANY/DRIVER INFORMATION Please list driver information, as well as main company contact in this section. The next page of this form should be completed and signed by additional drivers from the same company. 1) Driver Name: Company: Company Contact (if different from driver): Address: City: State: Zip Code: Phone: Driver e-mail: METHOD OF PAYMENT Total Amount Due: US $ Check enclosed made payable to Special Olympics Nebraska Charge to: Visa MasterCard American Express Account Number: Exp : Security Code: Card Holder Name: Signature: PLEASE REMEMBER TO INCLUDE PROOF OF INSURANCE WITH THIS REGISTRATION FORM. Please make all checks payable to Special Olympics Nebraska and return this form with your payment to: Special Olympics Nebraska, 9427 F Street, Omaha, NE 68127 or fax payments to: 402-331-5964

REGISTRATION FORM PAGE 2 A copy of proof of insurance of participating trucks should be submitted with this form. PLEASE NOTE: NO HAZARDOUS MATERIALS OR ALCOHOL OR TOBACCO LOGOS PERMITTED. Please submit the following information for each additional driver participating in the Truck Convoy. Each driver must sign that the information provided is true and accurate. Make additional copies of this sheet as needed. 2) Driver Name: Company: Address: City: State: Zip Code: Phone: Driver e-mail: 3) Driver Name: Company: Address: City: State: Zip Code: Phone: Driver e-mail: