Driver Entry Packet. Deadline for Entry: May 4, Location: Prairie Meadows Racetrack & Casino Altoona, Iowa June 7 & 8, 2012

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1 BRAND NEW LOCATION! The 2012 Iowa Truck Driving Championships will be held at Prairie Meadows Racetrack and Casino, in Altoona, Iowa. This is a brand new venue for us and we are confident that the event will be one of our best ever! EXCEPTIONAL EVENTS! The 2012 Iowa Truck Driving Championships is a two-day competition filled with activities for family members as well as participants. Various additional events throughout the weekend that attendees may take advantage include: Parade of Champions to welcome the drivers, BBQ, Music, access to the casino, bicycle roadeo for the kids, and access to tickets to Adventureland for Saturday, just to name a few. CONTINUOUS SKILLED COMPETITION! The 2012 Truck Driving Championships will continue to be a premier Event with a competition between professional truck drivers from across the state of Iowa. The areas of competition will remain the same; Driving Skills, Pre-Trip Inspection, Written Exam, & Personal Interview. Registration materials are enclosed with a listing of the official TDC rules and registration requirements. Please read carefully and fill out the information completely and accurately. We hope you can join us for the 2012 TDC!

2 2012 Iowa Truck Driving Championships Driver Entry Packet Deadline for Entry: May 4, 2012 Location: Prairie Meadows Racetrack & Casino Altoona, Iowa June 7 & 8, 2012 Questions: IMTA Office (515)

3 2012 Iowa Truck Driving Championships Schedule * tentative Thursday, June 7 11:00 a.m. Registration Desk Opens for TDC Drivers & Volunteers 1:30 p.m. TDC Class Coordinators Meeting/TDC Committee Meeting 2:30 p.m. Orientation Session for all the Drivers 3:00 p.m. Personal Interview Judges Orientation 3:30 p.m. Written Exam All Drivers (drivers can advance to the interviews as soon as they have completed their written exam) 3:30 p.m. Personal Interviews All Drivers 5:30 p.m. Staging for the Parade of Champions (location to be announced) 5:45 p.m. Parade of Champions & Opening Ceremonies 7:00 p.m. Driver Appreciation BBQ & other special activities Friday, June 8 6:30 a.m. Breakfast Buffet 7:30 a.m. Judges the Course (Attendance required) 8:00 a.m. Kick Off of TDC & Announcements for the Day 8:30 a.m. Driving & Pre-Trip Testing 10:30 a.m. Bike Roadeo (1st - 6th grade) 11:30 a.m. Special Driving Competitions Board Members, Press & Legislators 1:00 p.m. Driving & Pre-Trip Competition Resumes 4:00 p.m. Expected time to conclude with driving competition/pre-trip and other special activities out at the course 6:00 p.m. Team Photos in Banquet Room 6:30 p.m. Reception Prairie Meadows Skinner Ballroom 7:00 p.m. Banquet of Champions & Special Awards JOIN US!

4 2012 Iowa Truck Driving Championships Eligibility Rules 1. The driver must regularly perform the duties of a professional truck driver. 2. The driver must have been employed continuously by one employer for 12 months prior to the State Truck Driving Championships 3. The driver must have an accident-free record 12 months prior to entry in the State Truck Driving Championships. 4. The driver must meet all DOT physical requirements. 5. The driver must represent the state in which they reside or are domiciled. 6. A driver must compete in a different class if they have taken first place in the same class for two consecutive years. 7. The driver must have not been disqualified for misconduct or other reasons within their company or at a previous truck driving championships. 8. Two drivers per company/per terminal/per class are eligible to compete. For example: If you have one terminal in Iowa, you can have 16 drivers compete, two drivers per class. There are eight classes of competition. 9. Entry fee is $150/driver. Entry fee must accompany application. Please make checks payable to the Iowa Council of Safety Management. 10. Please fill out ALL FORMS COMPLETELY. 11. Drivers that place first in their class, will not get an automatic seat on the road team. Instead, the first place winner will get an automatic bid to participate in the interview process. IMTA and the ICSM will be expanding the scope of the Road Team nomination process to include all members of the association that are in good standing. All nominations for the Road Team will go through a more formal process which will include an interview. The Road Team for the upcoming year will be announced at the IMTA Management Conference in September. 12. Upon receiving the application and entry fee, IMTA will send the safety director of the company the Facts for the Driver book. Questions for the written exam come from the Facts for the Driver book and from a question bank provided by the American Trucking Association. All eligible participants will also receive ONE arm patch as part of their entry fee. Additional arm patches may be purchased from ATA. Only one arm patch is part of the entry fee, NO EXCEPTIONS. 13. In the event that a State Champion is unable to compete due to disqualification, ineligibility or for personal reasons, the second place winner in the same class may compete in the ATA National Truck Driving Championships if otherwise qualified. For the purposes of this rule, disqualifying acts are defined in Chapter V, Section L, Rules 16-18; acts or situations that render a State Champion are defined in Chapter V; and personal reasons are intended to include family emergencies, financial circumstances, and/or a desire not to compete. For further clarification, in the cases of a State Champion is who is a non-ata member and neither subparagraphs (a) nor (b) of Chapter V, Section A, rule 1 apply, the second place winner in the same class may compete. To submit an eligibility appeal and receive a determination fro the Entry and Eligibility Subcommittee, the entering employer must complete the official form (Appendix III) and send it to the ATA SMC as required under Chapter II, Rule 22 (source: ATA State & National Rules & Procedures booklet). These materials are not sent until the completed forms and entry fee are received 2012 Iowa TDC Thursday June 7 & Friday June 8 Prairie Meadows Altoona, Iowa IMTA Now Accepts: -Entry Fee: $150- This application cannot be processed without the entry fee.

5 2011 Iowa Truck Driving Championships At-A-Glance Dates of Competition: Thursday, June 7 and Friday, June 8 Deadline for Entry: May 4, 2012 Entry Fee: $150/Driver Entry Fee Includes: ~ Meals for Driver Only: Thursday Evening BBQ, Friday Morning Breakfast Buffet & Friday Evening Banquet of Champions ~ Facts for Driver Study book ~ Commemorative Arm Patch ~ Participation Certificate Registration Procedures: 1. Receive entry packet 1/driver 2. Fill out information completely and secure entry fee $150/driver 3. Mail entire packet and fee to the IMTA office for processing 4. Upon receiving the completed packet, IMTA will send the safety director a packet for the driver entered. Driver Packet will contain: *1 championship patch *1 Facts for the Driver book for review for the written exam & personal interviews *Schedule of Events **The Safety Director will be responsible for getting these packets to the drivers** 5. All other registration materials, meal tickets, etc., will be distributed at the registration desk at the actual event. *NO MEAL TICKETS ARE SENT IN ADVANCE* National Truck Driving Championships Iowa is proud to be represented at the National Truck Driving Championships. We are, however, subject to follow the guidelines for entry to this event that are set by the NTDC committee and the ATA Executive committee. Currently the rule states that only members of the ATA are eligible to participate, however, the wild card and first time participant rule allows for non-members to participate. The choice to fill these two spots is done based on the overall score of the eligible winners. ICSM pays for the entry fee except for $100 which ICSM receives from the driver s company. ICSM also hosts a team dinner at the National TDC. The 2012 National Truck Driving Championships will be held August 7 11, 2012 in Minneapolis, MN. National Truck Driving Championships is a competition of professional truck drivers hosted each year by American Trucking Associations. This competition has a long history dating back to The National TDC pits the top qualifiers from each state s Truck Driving Championships against each other in pursuit of the title of Grand Champion. The NTDC and affiliated state TDCs are considered the one of the industry s largest and most effective safety programs. Known to many as the "Super Bowl of Safety," these annual competitions inspire tens of thousands of drivers to operate accident-free for the right to compete.

6 2012 Iowa Truck Driving Championships Hotel Info Dates of Competition: Thursday, June 7 & Friday, June 8, 2012 Deadline for Entry: May 4, 2012 DRIVER IS RESPONSIBLE FOR MAKING THEIR OWN HOTEL RESERVATIONS AND PAYING FOR THEIR ACCOMMODATIONS Hotel Information: Hotel: Address: Room Rate: Room Block Name: Prairie Meadows Hotel (515) Prairie Meadows Drive Altoona, IA $ tax - Double/King Rooms Iowa Motor Truck Association Truck Driving Championships ** RESERVATION DEADLINE IS MONDAY, MAY 21, 2012 **

7 2012 Iowa Truck Driving Championships Miscellaneous Dress Code: The only dress code that is required is that the driver dress properly and professionally. Company uniforms are not required but are highly encouraged. Drivers are judged on a number of items and dress is one of those items. Remember this event is highly visible and very representative of the industry. Our objective is to promote the professionalism that exists in the industry. Drivers are true professionals and we encourage them to make an effort to dress that way. Equipment: All equipment is provided. Every effort is made to provide new equipment and to provide everyone a fair opportunity during their driving skills competition. Courses: As in the past all the driving will be done on one day, on two different courses. The chairman appoints two committee members to draw up four courses and submit those courses for review. The chairman then makes the final decision as to the final course layout one day prior to the event. If a company would like to practice the driving skills portion of the testing, sample course diagrams are available from the IMTA. Scoring: Scores are final and no test scores are posted. Safety directors receive the results of their specific drivers approximately 10 days following the Truck Driving Championships. No scores are given out at the event. All the scoring is done through a computerized program. Areas of Testing: *Written Exam (100 points) *Driving Skills Test (300 points) *Pre-Trip Inspection (100 points) *Personal Interviews (100 points) Weather: The championships are held rain or shine. The weather is a factor that a professional truck driver has to deal with on a daily basis. The driving portion of the championships may be delayed or postponed if the safety of the volunteers, spectators, or drivers is jeopardized because of weather. The championships committee retains the right to change the schedule if weather problems arise. Recruiting: Recruiting of drivers is strictly prohibited, any company representative that engages in recruiting will be asked to leave and if he/she has a driver/team competing, they will be automatically disqualified. Conduct: Professional conduct is required and any competing driver that displays inappropriate conduct will be asked to leave the competition and future participation will be considered by the rules committee. Please contact the Iowa Motor Truck Association if special accommodations are needed. (515)

8 Iowa Motor Truck Association Truck Driving Championships Entry and Release Contestants Name: THIS IS THE NAME THAT WILL APPEAR ON THE NAMETAG Employer: Class of Competition (check one): *NO CLASS CHANGES CAN BE MADE ONCE THIS FORM IS RECEIVED BY THE IMTA OFFICE. PLEASE CHECK ONE CLASS ONLY AND THIS WILL BE THE CLASS OF COMPETITION FOR THE DRIVER LISTED ABOVE. ONLY CHECK ONE CLASS! Straight Truck Three-Axle Van Four-Axle Van Five-Axle Van Five-Axle Sleeper Five-Axle Tank Truck Five-Axle Flatbed Five-Axle Twin Trailer 1. The driver must regularly perform the duties of a professional truck driver. 2. The driver must have been employed continuously by one employer for 12 months prior to the State Truck Driving Championships 3. The driver must have an accident-free record 12 months prior to entry in the State Truck Driving Championships. 4. The driver must meet all DOT physical requirements 5. The driver must represent the state in which they reside or are domiciled. 6. A driver will not be able to participate in the same class if they have placed first in the competition for two consecutive years. Any driver with two consecutive first place finishes must register in a different class in order to participate and compete. 7. The driver must have not been disqualified for misconduct or other reasons within their company or at a previous truck driving championships 8. All first place winners at the TDC will be considered to serve on the Iowa Road Team and will be subject to the qualification guidelines as set forth by the ICSM and IMTA. A first place at the TDC does not guarantee the winner will receive a position on the Iowa Road Team. 9. Upon receiving the application and entry fee, IMTA will send the safety director of the company the Facts for the Driver book. Questions for the written exam come from the Facts for the Driver book and from a question bank provided by the American Trucking Association. All eligible participants will also receive ONE arm patch as part of their entry fee. Additional arm patches can be purchased from ATA. THESE MATERIALS ARE NOT SENT UNTIL THE COMPLETED FORMS AND ENTRY FEE ARE RECEIVED. Certification by Employer: I hereby certify that I am aware of the provisions of the Iowa Motor Truck Association Truck Driving Championships Eligibility Rules, that the contestant named is eligible to compete under these rules, and that all information furnished about them is true to the best of my knowledge. Employer Printed Name: Employer Signature: Title: Date

9 Iowa Motor Truck Association Truck Driving Championships Entry and Release Name: Class of Competition Employer: Company President Employer main office address: City/State/Zip Home terminal: Phone/Fax Length of service with present employer: in trucking industry: Number of Commercial Vehicle Accidents: Preventable: Non-preventable: Date of Last Commercial Vehicle Accident: Lifetime safe driving miles: Usual run: local: peddle: line-haul: Home Address: Home Phone City/State/Zip Married: circle one Yes No Children (names and ages): Outline any unusual experiences, such as helping at the scene of an accident, aid to motorists, life-saving, and any awards you have received Have you ever participated in the Iowa Truck Driving Championships? Previous Iowa Truck Driving Championships in which you have competed or volunteered. Year Class Position

10 Driver Agreements and Release: In consideration of my being permitted to participate in the Iowa Motor Truck Association s Truck Driving Championships and be eligible for awards offered to participants, I hereby stipulate and agree to the following: 1. Both as to myself and my heirs and personal representatives, I release IMTA, its directors, employees, agents and/or any of its affiliates from any and all liability and any right of action that may arise from any damage or injury which I may receive while attending or participating in said Iowa Truck Driving Championships. 2. I will be bound to all orders, rules, and regulations governing the IMTA Truck Driving Championships and/or its affiliates Truck Driving Championships while participating in said competitions. Certification by Driver: I certify that during the past 12 months: 1. I have been continuously employed as a truck driver by my present employer; 2. I have driven and performed the regular duties of a truck driver at least 11 of the 12 months; 3. I have not been involved in a disqualifying motor vehicle accident in the course of such employment; as per Section V, paragraph 5; (source-ata State & National Rules & Procedures booklet) 4. I have the proper class Commercial Driver s License, plus required endorsement(s) for the class of competition indicated above; 5. I have resided or have been occupationally domiciled in the state of. I further certify that I have not received any form of pay, bonus, prize or any other consideration for time spent in practice as set forth in the Truck Driving Championships Rules and Procedures. I acknowledge that any misstatement made with respect to my eligibility for the Truck Driving Championships competition may result in the forfeiture of my right to compete, or in disqualification from the said competition. Driver s Signature:

11 Additional Guests Registration Please fill out this form for any additional guests that will be attending. **It is preferred that you register in advance for all meals.** This section is for any guest that will be attending the 2012 Truck Driving Championships, this includes spouses & children. Driver Registration Fees include meals for the Drivers only. Thursday Driver Appreciation BBQ Friday Breakfast Buffet Friday Banquet of Champions Meal Tickets will be required for entry into all meals. $30.00 $15.00 $55.00 Guest #1: Nametag Guest #2: Nametag Guest #3: Nametag Guest #4: Nametag Guest #5: Nametag Grand Total: Please make checks payable to Iowa Council of Safety Management and sent to IMTA 717 East Court Avenue, Des Moines, IA IMTA Now Accepts:

12 2012 Iowa Truck Driving Championships Announcer s Sheet *The announcer will use this information to provide narration during your driving competition. Please fill out completely. Name Company Class of Competition Years Driving 1st Year of TDC Competition (Rookie) Number of years at TDC yrs. 1. What is the highlight of being a professional truck driver? 2. What has contributed to your overall success as a truck driver? 3. What is your philosophy regarding safety? 4. What is one piece of advice you would give the motoring public? 5. Tell us about your family # of children, grandchildren etc. 6. Hobbies and Outside interests?

13 Truck Driving Championships Order Form Additional Supplies Each registered driver receives the 2011 driver s edition of the Facts for Drivers Book and ONE ARM PATCH. However, you are able to purchase additional supplies directly from the American Trucking Associations. Below is a list of the items that are available and the instructions for ordering these extra items. Item Description Price Quantity Total G6010 Championships Course $33.00 each Diagrams & Problems G6011 Facts for Drivers 2012 $5.05 each Driver s edition (3 3/4 x 5 1/2) G6038 Facts for Drivers 2012 $53.00 each On CD G6013 TDC Championships Driver $2.13 each Shoulder Patch Supply Order $ Name Shipping* $ (Company Name) Total Order $ (Street address; order will ship via UPS or FedEx) Check # enclosed (payable to ATA S&LPMC) VISA MasterCard AMEX Card Number Phone Expiration Date Name on Card Mail Orders to ATA Marketplace PO Box Arlington, VA Phone orders@trucking.org Above Items may also be purchased on-line from ATA by going to: *Shipping charges: up to $10.00 $ 7.00 $10.01 to $40.00 $10.00 $40.01 to $16.00 $ to $ $24.00 Over $ $28.00

14 2012 Iowa Truck Driving Championships Volunteer Form The TDC would not be the success it is each year without the help of volunteers! Please consider being a volunteer for the Iowa Truck Driving Championships. If you know someone that may be interested in being a volunteer for the 2012 TDC, please forward this form to that individual. Questions: (515) Volunteers are needed for Thursday, June 7, for personal interviews and Friday, June 8, to help with the pre-trip inspection and for scoring for the driving competition. Because we have two different courses, we are in need of many different course judges. We try to have two to three judges per driving problem to insure quality scoring of the competition. Information will be sent out two weeks prior to the event with final volunteer information. Select dates you are available to volunteer Thursday, June 7 Friday, June 8 Name Company Mailing Address City/State/Zip Phone/Fax/ IOWA TRUCK DRIVING CHAMPIONSHIPS MEAL FORM *Circle meals you will be purchasing tickets to: Thursday Evening BBQ $30.00 Friday Breakfast Buffet $15.00 Friday Banquet of Champions $55.00 TOTAL DUE $ T-Shirt Size: (all volunteers will be given a special Volunteer T-Shirt) Please make check payable to: Iowa Council of Safety Management 717 East Court Avenue, Des Moines, Iowa Phone: (515) Fax: (515) IMTA Now Accepts:

15 Purchase the 2012 and Relive All the Memories We capture all of the highlights from the entire event in one DVD and put it together with music for an outstanding overview! The showing of this DVD has been the highlight of the Banquet of Champions year after year. The cost is $15.00 and payment must accompany your order form. This is a GREAT opportunity to capture the excitement of the whole event! Order your souvenir of the 2012 Truck Driving Championships today! 2012 DVD Order Form Name: Address: City, State Zip: $15.00 = $ Please make check payable to: Mail form & payment to: Iowa Council of Safety Management Iowa Motor Truck Association 717 East Court Ave. Des Moines, IA IMTA Now Accepts:

16 Order Your 2012 Place an order today for a souvenir t-shirt from the 2012 Iowa Truck Driving Championships! If you wish to order a t-shirt, please complete the form below and include the appropriate payment amount pending quantity of t-shirts ordered. Orders must be submitted by the end of the day on Monday, June 11, T-shirts will be mailed to individuals after the completion of the event; there will be no t-shirts handed out at the event. Shirts will not be mailed without payment in full T-Shirt Order Form Name: Address: City, State Zip: T-Shirt Size & Quantity Small: Medium: Large: X-Large: XXL: XXXL: Please make check payable to: Mail form & payment to: Iowa Council of Safety Management Iowa Motor Truck Association 717 East Court Ave. Des Moines, IA IMTA Now Accepts:

17 2012 Iowa Truck Driving Championships Special Event Seventh Annual Pinewood Derby ANOTHER POPULAR EVENT! We will be holding the Seventh Annual Pinewood Derby at the Driver s Appreciation BBQ on Friday evening. All drivers are eligible to compete. KITS FOR THE TRUCKS ARE PROVIDED, YOU JUST HAVE TO ASSEMBLE THE TRUCK! You can enter as a team and have one truck or you can enter individually with your own truck. It will be a great event! HERE IS WHAT YOU NEED TO DO 1. Send back or fax back this form and we will mail you your kit immediately. The cost of the kit is $ This fee covers the cost of the kit as well as your entry fee into the Pinewood Derby. Everything you need to assemble your truck is included in the kit. While the kit may look intimidating, it is relatively easy to assemble. The most time-consuming aspect of the assembly is the sanding and painting of your truck. Please include your payment with your registration. 2. Bring your truck to the Iowa Truck Driving Championships and get ready to compete. The official competition will be held on Friday evening after folks are fed at the Driver Appreciation BBQ. Two trucks will run at a time, with several heats being held throughout the evening. The grand finale will be the Championships Heat with an overall winner being named. All the trucks will be displayed on Saturday out at the course. Questions: Mike the IMTA office (515) Get registered today and we will get your kit sent out to you immediately! Pinewood Derby Registration Name Company Mailing Address (where you want your truck kit sent) City, State, Zip Please make checks payable to: Iowa Council of Safety Management Return form & payment to: Iowa Motor Truck Association IMTA Now Accepts: 717 East Court Avenue, Des Moines, Iowa or Fax: (515)

18 Before You Leave Town, Take the Family to Right Next Door to Prairie Meadows Adventureland Amusement Park contains over 100 rides, shows and attractions including some of the country's most exciting roller coasters and thrill rides that can challenge the most avid amusement park enthusiasts. There are also plenty of rides for less adventurous guests including great water rides as well as a full compliment of children's rides spread throughout the park. But the fun and entertainment doesn't stop with rides - Adventureland presents a full array of shows in the park, ranging from live music to magic to song and dance. There's always something to suit everyone's taste. Simply the most fun you will have all year! 2012 Adventureland Tickets Order Form Name: Address: City, State Zip: $25.00 = $ Please make check payable to: Mail form & payment to: Iowa Council of Safety Management Iowa Motor Truck Association 717 East Court Ave. Des Moines, IA IMTA Now Accepts: ** Tickets will be available for pick-up when you register at the event. **