Brick Car Derby '18

BRICK CAR DERBY '18

Start your engines and race on over to Crosspointe Baptist Church!

Crosspointe Baptist Church is hosting a Brick Car Derby for all children grades 1-6 in the Indianapolis, Avon, Danville, and Plainfield area.

Participants will receive all the bricks they need to build their car, a team Brick Car Derby t-shirt, and free admission to Race Day. Race Day will include lunch concessions, family games, and a mini carnival.

EVENT DETAILS:

Build Dates: Tuesday nights at 6:40pm July 17, 24, and 31
Race Day: Saturday, August 4th
Location: 220 Country Club Road, Indianapolis, IN 46234 (Crosspointe Baptist Church)
Cost: $10 per child

Registration Form:

* Indicates required field

Primary Registration:

Student Name *

First

Last

Grade InFall *

Age *

T-Shirt Size *

Additional Child:

Student Name *

First

Last

Grade in Fall *

Age *

T-Shirt Size *

Additional Child:

Student Name *

First

Last

Grade in Fall *

Age *

T-Shirt Size *

Additional Child:

Student Name *

First

Last

Grade In Fall *

Age *

T-Shirt Size *

Parent and Emergency Information

Registration Cost: $10 per child

Parent/Guardian Email *

Name *

First

Last

Emergency Contact Number *

Address *

Line 1

Line 2

City

State

Zip Code

Country

You have several method of payment options:
1) Payment by mail - All registration fees must be postmarked by June 6, 2018 in order to be guaranteed a T-shirt. You may send cash or check to:
          Brick Car Derby Registration
          220 Country Club Rd.
          Indianapolis, IN 46234

2) Payment at the church office - You may bring check or cash to the church office Monday - Friday between the hours of 9AM and
3PM. All registration fees must be received before June 13, 2018 in order to guarantee a T-shirt.

3) Online payment - Online payment through Paypal will allow you to use your Paypal Account or a Credit/Debit Card to pay online. Please note that the cost to pay online is $11.00/child to help cover the cost of processing fees.

Choose One *

Pay by mail Pay at church office Pay online

Before You Click Submit!!
Have you filled in all information for every child you are registering?
If you are paying online, click submit and you can follow the payment link on the next page.

Submit