demo derby

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ENTRY FORM

DEMO DERBY

1. Any driver must be 14 years of age or older. Under 18 must have parent or legal guardian. Every driver must have proper safety equipment to compete. 2. Entry fee for driver and car is $50 any additional pit members will be $20 each Unlimited must be over 14yrs old. Please see Full Arena Challenge for that entry form or Compacts On The Prairie for that entry form. 3. Lawnmower: Derby pit pass will cover entry.$20 4. Auto Cross: Derby pit pass will cover entry.$20 5. Please Write Derby and Town this is a Promotor entry for Many Shows. 6. Please put X if running Big Car 5ft or Compact 5ft class 7. Please make Payment to proper place running.

Big Car: Make_______________ Yr________ #__5ft__ Truck: Make________________ Yr________#__ 5ft__Mini____ Compact: Make_____________ Yr_________#__5ft__ Lawnmower: Make__________ Yr___________ #_______ Auto Cross Car: Make_____________Yr_______#_______ Derby Date____________________Town______________ Driver Name_____________________________________ Date of birth____________ Phone___________________ Driver Address___________________________________ City____________________State____Zip_____________ Payment to: WOT County Fair For Fergus Falls MN Derbies Payment to: Todd County Fair For Long Prairie MN Derbies Josh Stock 15437 365th ave Battle Lake MN 56515