NTDC Online Registration

2009 National Truck Driving Championships Please type information in appropriate upper and lower case. Double check your spelling as you type so that all submitted information is completely accurate.

For any questions regarding this form, please contact Connie Deibel (330-643-6886).

NOTE: All required fields below are in BOLD.

Section A: Personal Information

1. First Name:

2. Last Name:

3. What first name would you like used on all printed information? For example, if your name is "William" and you prefer "Bill," please let us know your preference:

4. Your Company Name:

5. Your Facility Name (city/state):

6. Your Facility Code:

7. Your Facility Manager's Name:

8. Your Facility Manager's Phone Number:

9. Your full home address (this cannot be a PO Box. If you have a rural address, it is suggested you use your service center's address as your mailing address. Please enter it here and let Connie know at 330.643.6886 that this is the mailing address to be used for you.):

10. City:

11. State:

12. ZIP Code:

13. Phone number where you can most easily be reached:

14. Alternate phone number:

15. Your home email address:

16. Your birth date (mmddyyyy):

Section B: Hotel Accommodations

1. Date of Arrival: August

2. Date of Departure: August

3. Do you need additional nights? Yes No
If yes, please note that the company will pay for the hotel accommodations for Monday through Saturday nights of competition week (refer to NTDC Travel/Expense Guidelines that were included in your first letter from Connie). You will be responsible for any additional nights at the hotel.

4. Number of adults in your room:

5. Number of children in your room:
NOTE: The hotel only permits 4 guests per room. If you are bringing more than 3 guests, you will need to book an additional hotel room at your own cost. Please call Connie at 330.643.6886.

6. Do you need a spare cot? Yes No
Note: The hotel can only put a spare cot in a room with a king-size bed. Please make sure you request a king-size bed preference if you need a spare cot. Also, there will be a charge of $25 per night for the cost which will be charged to your personal credit card.

7. Choose bed preference: Two Double Beds One King-Size Bed

8. Choose smoking preference: Non-Smoking Smoking
The hotel has a limited number of smoking rooms. If you request a smoking room, the hotel will do its best to accommodate your request.

9. Do you need a handicap-accessible room? Yes No

10. Do you have any special needs the hotel should be aware of?
Yes No

If so, please explain here:

Section C: Clothing For Competitor

1. What is your gender? Female Male

2. Name of competitor:

Sizing Guide for Pants

Waist:
Measure around your waist, in your underwear, at the point where your trousers would normally ride. Keep one finger between the tape and your body.

Inseam:
Select a pair of your best-fitting pants of a similar material. Measure from the crotch to the bottom. The number of inches, to the nearest half-inch, is the inseam length.

3. Pants - Waist Size:

4. Pants - Inseam:

5. Polo Shirt:
Polo shirts are available in men's sizes only.

6. T-Shirt:
T-shirts are available in men's sizes only.

7. Sport Coat:
Use attached sport coat measurement guide to determine your correct size.

Section D: Spouse/Guest

1. I am bringing a spouse/guest: Yes No

2. The guest I am bringing is: Female Male

3. First Name:

4. Last Name:

5. Relationship of guest to you:

6. T-Shirt:
Note: T-shirts are available in men's sizes only.

Section E: Additional Guests Attending Event

1. Are you bringing any additional guests? Yes No

NOTE: If yes, please note that the company will pay for the travel expenses and hotel accommodations for each competitor and one guest only. You will be responsible for the travel expenses and hotel accommodations of any additional guests.

2. How many additional guests are you bringing?

NOTE: Please note that the company will pay for the travel expenses and hotel accommodations for each competitor and one guest only. You will be responsible for the travel expenses and hotel accommodations of any additional guests.

Guest 1

1. First Name:

2. Last Name:

3. Relationship of guest to you:

4. Gender: Female Male

5. Age:

6. T-Shirt (Adult Guest Only):
Note: T-Shirts are available in men's sizes only.

8. Shirt (Child Guest Only):

Guest 2

1. First Name:

2. Last Name:

3. Relationship of guest to you:

4. Gender: Female Male

5. Age:

6. T-Shirt (Adult Guest Only):
Note: T-Shirts are available in men's sizes only.

8. Shirt (Child Guest Only):

Guest 3

1. First Name:

2. Last Name:

3. Relationship of guest to you:

4. Gender: Female Male

5. Age:

6. T-Shirt (Adult Guest Only):
Note: T-Shirts are available in men's sizes only.

8. Shirt (Child Guest Only):

Section F: Biographical Information

It is important to have a complete personal biography for each competitor.

1. Job Title:

2. Full name of spouse:
(Use name to be shared on any printed information.)

3. Your child/children's full name(s) and age(s):

4. The state in which you placed first:

5. The class in which you placed first:

6. Years in the trucking industry:

7. Years with the company:

8. Hobbies:

9. Your community involvement:

10. Awards you've received:

11. Your special achievements:

12. Why do you compete in truck driving championships?

13. Why is safety important to you?

Before you hit the "Submit" button, make sure your information is complete—you can only submit this form once.