Scaffold Dawgs presents Scaffold Building Rodeo Question Title This is a first time event that will be hosted in Austin, Texas on Monday, July 28, 2014 during the Scaffold & Access Industry Association Annual Convention & Exposition. If needed, a bus will pick you up from the SAIA host hotel, Hilton Austin, at 12 pm and take you to the build location at the Central South Carpenters Regional Council - Carpenters & Millwrights Training Center. The center is four miles from the hotel. We can only accommodate no more than 10 teams with a crew of no more than four. Teams will be registered on a first-come basis. You will need to bring your own tools and everything must be erected to OSHA standards. Equipment will be sponsored by SAIA members. For the inaugural event, there is a small entry fee of $25.00 per team to ensure you will participate in the event. Someone from the SAIA will reach out to you to collect payment on behalf of Scaffold Dawgs. Your team will not be fully registered until the payment has been received. As an inaugural event, we will depend heavily on the participates for feedback on how to enhance this in the future. Please, only serious registrations. If you have any questions please contact Tom Hallman at tomterriffic@scaffolddawgs.com or Laurie Weber at laurie@saiaonline.org. Question Title * 1. Provide us your name/company you work for and address information Name: Company: Address: Address 2: City/Town: State: -- select state -- AL AlabamaAK AlaskaAS American SamoaAZ ArizonaAR ArkansasCA CaliforniaCO ColoradoCT ConnecticutDE DelawareDC District of ColumbiaFM Federated States of MicronesiaFL FloridaGA GeorgiaGU GuamHI HawaiiID IdahoIL IllinoisIN IndianaIA IowaKS KansasKY KentuckyLA LouisianaME MaineMH Marshall IslandsMD MarylandMA MassachusettsMI MichiganMN MinnesotaMS MississippiMO MissouriMT MontanaNE NebraskaNV NevadaNH New HampshireNJ New JerseyNM New MexicoNY New YorkNC North CarolinaND North DakotaMP Northern Mariana IslandsOH OhioOK OklahomaOR OregonPW PalauPA PennsylvaniaPR Puerto RicoRI Rhode IslandSC South CarolinaSD South DakotaTN TennesseeTX TexasUT UtahVT VermontVI Virgin IslandsVA VirginiaWA WashingtonWV West VirginiaWI WisconsinWY Wyoming ZIP: Country: Email Address: Phone Number: Question Title * 2. How many builders will be on your team? 3 4 Question Title * 3. Please tell us what scaffold system you commonly use Question Title * 4. There is no correct answer to this question. How you answer will not eliminate you from the contest. Our company is Union Non Union Question Title * 5. Will you stay at the SAIA convention hotel, Hitlon Austin Hotel? Yes No Question Title * 6. Are you planning on attending the entire SAIA event starting July 27 - 30 in Austin? Yes No Question Title * 7. Are you the appointed competent person at your company? Yes No Question Title * 8. Please provide the first and last name of everyone on your crew that will participate in the Builder Rodeo. Question Title * 9. Please list all qualifications you and your crew hold. (Examples: UBC, SAIA, NCCER, STI...) Question Title * 10. Are you familiar with hangers? Yes No Question Title * 11. Do you are anyone on your team have any health conditions? (Example: Asthma, high blood pressure, etc.) Please list below Question Title * 12. Note that by registering for this event, that Scaffold Dawgs, SAIA or the Carpenters & Millwrights Training Center, nor its allies, can be held responsible for injury in the competition during this event. The builds will be small builds that will be graded to OSHA regulations. Speed and quickness will not really be a factor, but will be considered. I understand and agree I understand and disagree Question Title * 13. Do you have any other comments, questions, or concerns? Done