REGISTRATION FORM

Pleasure Drive at Big Bend

Saturday, May 3rd - Chadds Ford, PA

To confirm your registration (and see who else has registered) CLICK HERE

VOLUNTEERS NEEDED! To volunteer CLICK HERE

Payment

Please fill out the registration information below:

Name of Driver

Must be a BVDC Member

First Name

Last Name

Email of Driver

Phone # for Driver

Cell phone

(###)

###

####

Names & Email Addresses of all people attending with you:

Emergency Contact Name & Phone #

Age of Driver if under 18:

Name & cell phone # of accompanying adult (if driver is under 18):

Which documents did you upload?

BVDC Waiver

Weymouth Waiver

Coggins

Vaccination Record

None - I will mail paper copies

None - I will upload later using the Document Uploader on the BVDC Forms page

None - I have already uploaded my documents this year

Notes for Event Secretary

Documents that must accompany registration:

• Copy of current negative Coggins test (within one year) and Flu/Rhino documentation (within 6 months) per ADS rule GR-6.3

Note: If your current Coggins is still valid from 2024, you do not have to re-submit.

• Signed BVDC Waiver - Everyone in your group must sign this. CLICK HERE to download the form so you can print it.

Upload the files via the online registration form on this page or go to our DOCUMENT UPLOADER.

Or they can be emailed to: frenchie26@verizon.net

or mailed to:

Pam Bastings, 2 Park Ave, Coatesville, PA 19320

$10 per turnout requested to cover costs

Payment Options: PayPal or Mail Check

To show our appreciation to Mac Weymouth and his family we ask participants to contribute to the donation we are collecting for the Brandywine Conservancy.

To make your donation online: CLICK HERE Then e-mail your donation receipt to Pam Bastings (frenchie26@verizon.net) to confirm.

To make your donation by check: Make check payable to “Brandywine Conservancy & Museum of Art” and mail to Pam Bastings, 2 Park Ave, Coatesville PA 19320.