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OFFICIAL ENTRY BLANK |
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Show Date: ___________________ Location: ___________________________ Total Prize Money: ______________
Driver's Name:
____________________________________________________________________________
Street Address:
_____________________________________________________ County: _______________________
City/State/Zip: ___________________ Phone: ____________________________ Age: _________________________
I have read the above rules and accept the decision of
the judges as final and elect to use the ground or track in its present
condition. I agree to have my car at the race area and sign in at the
registration desk at least one hour prior to the show time or a fine may be
imposed for late arrivals.
Entry Fee (to accompany entry):
_______________________________________________________________________
Signed:
_________________________________________________________ Date: ___________________________
Only cash or money orders payable to "Smash
It" DEMOLITION DERBY will be accepted. No Checks!
RELEASE AND CONSENT FORM
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State of ______________ County of
_________________________ , I, _______________________________________
Being the parent and / or legal guardian of
_________________________ hereby consent to permit _____________________
to enter and / or participate in the Smash It
Demolition derby being held at ____________________ and that said minor is
under the legal age of this state.
Namely, age __________ and that I hereby expressly
release both the producer and the sponsor and all of their associates for any
injuries of any kind or nature which may occur or be received as a result of
said minor's participation in said Derby. And I hereby expressly waive all
claim for injuries that may occur should said minor be injured while being a
contestant in said contest.
Parents and / or Legal Guardian:
_______________________________ Subscribed and sworn to this __________ day of
___________ A.D.,20__. Notary Public _________________________________________
My commission expires
___________________________________