Soap Box Derby Application

Applicant Information
Child's Name *
Address
City
State
Zip Code
Date of Birth *
Gender *

Male Female
School
Emergency Contact Information
Parent/Guardian Name *
Relationship
Home Phone Number *

- Area Code Phone Number
Cell Phone Number

- Area Code Phone Number
E-mail Address *
Parent/Guardian Name
Relationship
Home Phone Number

- Area Code Phone Number
Cell Phone Number

- Area Code Phone Number
E-mail Address
Comments/Special Circumstances
Please note: The Hopkins Raspberry Festival uses Paypal to process online payments. You do not need a Paypal account. Choose your registration type below and click on submit to complete your transaction.

If you do not wish to pay online, you may print this form and pay by mail. Along with this form, please send a check payable to the Hopkins Raspberry Festival. The festival mailing address is:

Hopkins Raspberry Festival
Attn: Soap Box Derby Coordinator
1609 Mainstreet
Hopkins, MN 55343

Be sure to include your name in the memo line of your check if it is not otherwise apparent.
Registration Type

Soap Box Derby - I Need a Car Kit $ 25.00

Soap Box Derby - I Already Have a Car $ 15.00
Should be Empty: