registration form...• teams must be able to compete 10:00 am – 5:00 pm on saturday, august 19th....
TRANSCRIPT
TeamName __________________________________________________________________________
Company ________________________________________________________________________
Mailing Address ________________________________________________________________________________
City _______________________________ State/Province _________________________________
ZIP/Postal Code _________________________________ Country _________________________________
Email __________________________________________________________________________________________
Offi ce or Home Number__________________________________________________________________________
Cell Phone (where the team can be reached during the event) __________________________________________________
Name of Crew Member 1 _________________________________________ HNA Registration # ______________________
Name of Crew Member 2 _________________________________________ HNA Registration # ______________________
Name of CrewAlternate ______________________________________________ HNA Registration # ______________________
Registration Deadline: August1, 2017
1. Register online at www.mutualmaterials.com/compete2. Use this form and submit by mail to:
Mutual Materials • 605 119th Ave NE • Bellevue, WA 98005 • ATTN: Tom Davis (206) 412-80443. Scan this form and email to [email protected].
AUGUST 19 • LACEY WA
REGISTRATION FORM
S P O N S O R S
AUGUST 19 • LACEY WA
BE THE BESTNW Hardscape Installer Nationals
WIN A TRIP TO THE NATIONALS
Event Questions? Tom Davis — [email protected] Phone: (206) 412-8044
Round 1 & 2: 1 hour to build an 8 x 10 patio
Round 3: 1.5 hours, add creative design elements
• Each team must have (2) installers and (1) alternate.• Teams must be able to compete 10:00 am – 5:00 pm on Saturday, August 19th.• The winning team must be able to travel to Kentucky on October 18, 19, and 20.
PNW Qualifier Conditions1. Registration is not considered complete until the fully completed and signed Team Registration
Form is received along with supporting documents.2. All cancellations must be submitted to the Event Organizer, in writing, at least 1 week in advance of
the event. Substitutions will be permitted from the same company any time prior to the event.
3. The sponsors, HNA and ICPI are not responsible for expenses incurred due to cancellation of the championship.
4. All participants who are found to be under the influence of drugs or alcohol during the Regional Installer Championship will be immediately dismissed from the competition.
5. The decision of the judges is final.6. Failure to comply with the rules or conditions of the Championship by any team member will result
in the team’s disqualification.
Grand Prize – Hardscape NA National ChampionshipRegistration is limited to the first twenty (20) teams to submit completed registrations.
1. Provide proof of your general liability and workers compensation insurance coverage.2. Complete the Team Registration Form and have each team member sign it.3. Submit the insurance documents and Team Registration Form to the Event Organizer.
www.MutualMaterials.com/compete Register Your Team Today!
AUGUST 19 • LACEY WA
Hardscape Installers: Who is “The Best in the Northwest”? Show your stuff and compete in this one-day paver patio installation!
PACIFIC NORTHWEST HARDSCAPE HNA QUALIFERWhen: 10:00 am – 5:00 pm Saturday, August 19th
Where: Mutual Materials Paver Plant 8760 Commerce Place Drive NE Lacey, WA 98516
• Multiple prize levels awarded!• Catered BBQ lunch from Oly Smokers• Grand Prize:
Trip to Kentucky to compete @ Hardscape NA!The winning team will receive airfare, hotel and a spot to compete in the national Hardscape North America Installer Championship in Louisville, Kentucky on October 19 and 20, 2017.
PROGRAM INFORMATIONTwenty (20) teams will be chosen to compete from
all registrations submitted by August 1, 2017.