2012 Driver Profile Sheet

 

Welcome Race Entrants!

Please take a few minutes to fill out this form.  The Race Committee want to increase the information we provide to media outlets for both the races and our mushers; this form tries to find answers to some of the most common questions we are asked by media.

This information you provide will be given to the media, through the race web site, and will be used in media releases.  Contact information for newspapers (your home newspaper, etc.) or other media outlets will be used to distribute information about you and the race before, during and after the 2012 race.

Driver Name/Nickname: ______________________________________________ Date of birth _________________________

Mailing Address: ________________________________________________________________________________________

Phone or Cell Number: _________________________ Best time to contact you: _____________________________________

Current Residence if different then mailing address: ____________________________________________________________

Personal Website:  www.                         ___                 __                       Email: _______________________________________

Place of Birth: ________________________________ Home town (where you grew up): ______________________________

Nationality: ______________________________ Languages Spoken: _____________________________________________

Spouse/Partner ________________________________________________________________________________________

Children’s Names & ages: ________________________________________________________________________________

Handler: ______________________________________________________________________________________________

Comments on Handler: ___________________________________________________________________________________

______________________________________________________________________________________________________

______________________________________________________________________________________________________

Kennel Name: __________________________________________________________________________________________

How did you come up with the name: ________________________________________________________________________

______________________________________________________________________________________________________

Kennel Bloodlines: ______________________________________________________________________________________

Outstanding Dog(s) and why: (Use a separate sheet if needed):  __________________________________________________

______________________________________________________________________________________________________

______________________________________________________________________________________________________

How many years have you been running sled dogs? ____________________________________________________________

How did you get started running sled dogs? ___________________________________________________________________

______________________________________________________________________________________________________

______________________________________________________________________________________________________

______________________________________________________________________________________________________

______________________________________________________________________________________________________

Sled Dog Races Finished:  (race name/year/finish position):  _____________________________________________________

______________________________________________________________________________________________________

______________________________________________________________________________________________________

______________________________________________________________________________________________________

______________________________________________________________________________________________________

______________________________________________________________________________________________________

______________________________________________________________________________________________________

Why do you run sled dogs?  What do you enjoy most about running sled dogs? ______________________________________

______________________________________________________________________________________________________

______________________________________________________________________________________________________

______________________________________________________________________________________________________

Why did you enter this race? ______________________________________________________________________________

______________________________________________________________________________________________________

______________________________________________________________________________________________________

What are your goals for this race?  _____________________________________________________________________

______________________________________________________________________________________________________

______________________________________________________________________________________________________

Occupation:  ___________________________________________________________________________________________

Hobbies:  ______________________________________________________________________________________________

Sponsors:

Please list your sponsors below.  Use a separate sheet if needed.  We will list you sponsors, in the order you provide, under your ‘Musher Biography’ on the race web site.  Please contact the race office if you get more sponsors after the submission of this list.

______________________________________________________________________________________________________

______________________________________________________________________________________________________

______________________________________________________________________________________________________

______________________________________________________________________________________________________

Media contacts for press releases: 
Please list any newspapers and other media outlets you know of (i.e. from you home town, other locations that you have lived, your parent’s current residence, etc.) that might be interested in your participation in the this race below with as much of the following information as you can provide: publication name, e-mail address, phone number, fax number, and province/state.  Please write any contact information clearly!  These recommended Media Outlets will be included in our press releases.

______________________________________________________________________________________________________

______________________________________________________________________________________________________

______________________________________________________________________________________________________

______________________________________________________________________________________________________

About your dogs:
Please tell us about your dogs, preferably about specific dogs that will be running in this race.  (Suggestions:  Famous dogs you have, what they have accomplished; Canine family relations in your yard, (i.e.  brothers/sisters/fathers/mothers/grandparents) who also ran in mid-distance races; Dogs that have competed and/or performed well in multiple races; Dogs who have overcome difficulties (i.e. being dropped, injury, cancer, deafness, etc).  Anything that is special about dogs in your team.  Information you provide may be made available to media outlets and personnel for general information purposes, before, during and after the race.

______________________________________________________________________________________________________

______________________________________________________________________________________________________

______________________________________________________________________________________________________

______________________________________________________________________________________________________

______________________________________________________________________________________________________

______________________________________________________________________________________________________

______________________________________________________________________________________________________

______________________________________________________________________________________________________

Please attach any additional information you would like to provide…thank-you!

 

Driver Signature _________________________________________________ Date  _____________________________