
ENTRY FORM
2009 DEMOLITION DERBY JULY 5, 2009 - 1:00 P.M. MDT Roughrider/DSU Arena Dickinson, ND
SPONSOR___________________________________________________________________
DRIVER ____________________________________________________________________ (MUST BE 18 YEARS OF AGE)
PARENT SIGNATURE ___________________________________________________________ (REQUIRED IF DRIVER IS UNDER 18 YEARS OF AGE)
ADDRESS___________________________________________________________________
TELEPHONE #_______________________________________________________________
TYPE OF VEHICLE ____________________________________________________________
MODEL OF VEHICLE __________________________________________________________
OTHER_____________________________________________________________________
FREE TO THE FIRST 20 FULL SIZE
CARS AND 3 HERBY CARS
ENTRY FEE - $50.00 ($20.00 for herby) if received on or before June 26.
LATE ENTRY FEE - $75.00 ($30.00 for herby) if received June 27 or after.
CARS LEFT WILL BE TOWED AT DRIVER'S EXPENSE!!
SEND APPLICATION TO:
ROUGHRIDER COMMISSION P.O. BOX 895 DICKINSON, ND 58602-0895
ENTRY FEE MUST ACCOMPANY THIS APPLICATION!
PRE-REGISTRATION ENTRY DEADLINE - JUNE 26, 2009 |