Derby Team Registration

Join us on Saturday, May 11th, 2019 for the wackiest ride you’ll have all year! Each team member will receive a Derby pilot t-shirt as a part of their registration. However, supplies will be limited and on a first come-first serve basis, so register TODAY! Registration will close by close of business Wednesday, May 8th, 2019.

Contact Info
Team Point of Contact Name *
Team Point of Contact Name
Team Point of Contact Phone *
Team Point of Contact Phone
Team Info
Has your team or part of yout team participated in the Derby before? *
When profiling your team ahead of the Derby, we will showcase this description on this website.
Team T-Shirt Sizes
Please list the t-shirt sizes of you and your teammates. All t-shirt sizes are adult unisex.
Registration Signature
By checking the following and submitting this form, you affirm that your team has read and agrees to the 2019 Derby Rules and Expectations. *
Rules and expectations for the 2019 Derby can be found at: