Department Name: ______________________________________________________________

Challenge: Bucket Brigade(_6__) Rescue Boat: (_4___) Vehicle Extrication(_5___) 


Team Members ________________________________________________ Captain

                ________________________________________________

                ________________________________________________

                ________________________________________________

                ________________________________________________

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Team Captain Contact: _______________________________________________ 

Email: ____________________________________________________________  

Phone(s): _________________________________________________________

Description and dimensions of Rescue Boat: __________________________________________________________ 

__________________________________________________________________________________________________ 
 

Mail your application to:
Digby Fire Truck Rally – Challenges Committee  
P.O. Box 976
Digby, NS B0V 1A0 
Fax: (902) 245-3130

For more info on events, contact Mike Bartlett 245-3130

Teams are on a first come, first served basis.
Waiver sent out upon being accepted.
Waiver will have to be signed by your Department Chief prior to competing 

----- Digby Fire Truck Rally Challange Committee use 
[  ] Date Approved ________________