ENTRY FORM
2011 DEMOLITION DERBY
JULY 4, 2011 - 1:00 P.M. MDT
Roughrider/DSU Outdoor Arena
Dickinson, ND
SPONSOR___________________________________________________________________
DRIVER ____________________________________________________________________
UNDER 18 YRS OF AGE MUST HAVE A PARENT SIGNATURE & A VALID DRIVERS LICENSE
PARENT SIGNATURE ___________________________________________________________
(REQUIRED IF DRIVER IS UNDER 18 YEARS OF AGE)
ADDRESS___________________________________________________________________
TELEPHONE #_______________________________________________________________
TYPE OF VEHICLE ____________________________________________________________
MODEL OF VEHICLE __________________________________________________________
OTHER_____________________________________________________________________
FREE TO THE FIRST 15 FULL SIZE
CARS AND 3 HERBY CARS
PRE-REGISTERED PRIOR TO JUNE 24
ENTRY FEE - $50.00 ($20.00 for herby) if received on or before June 24.
LATE ENTRY FEE - $75.00 ($30.00 for herby) if received June 25 or after.
CARS LEFT WILL BE TOWED AT DRIVER'S EXPENSE!!
Association rules state "all cars must be at the derby site at least ONE HOUR prior to the advertised start time of the derby!" In order to start the derby on time (1:00), we request you check-in no later than 1.5 hours prior to the advertised start time (11:30). Thank You!
SEND APPLICATION TO:
ROUGHRIDER COMMISSION
P.O. BOX 895
DICKINSON, ND 58602-0895
ENTRY FEE MUST ACCOMPANY THIS APPLICATION!
PRE-REGISTRATION ENTRY DEADLINE - JUNE 24, 2011