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DEMO DERBY Registration
2005 Demo Derby Entry Form Please PRINT LEGIBLY. Any information or forms will be mailed to the address you provide below. Anyone entering the pit area who is 17 years of age or younger must have a minors release on file at the track office. Forms are available at the track, or you may call 512- DRIVERS NAME: ___________________________________________________ SSN: ______ - _______ - ________ MAILING ADDRESS _________________________________________________ CITY _______________________ STATE ____________ ZIP _______________ HOME PHONE ( ____ ) ____________ OTHER PHONE ( ____ ) _____________ EMAIL ADDRESS___________________________________________________ MAKE/MODEL/YEAR OF CAR__________________________________________ ******************************************************** I attest that I have read the Demo Derby Rules and Procedures, and that I will abide by and follow the rules and instructions from the THR officials and/or management while on THR property. I understand that the THR officials and/or management will interpret and apply the Demo Derby Rules and Procedures to the best of their abilities. I understand and agree that I am a private contractor and as such that I am responsible for any and all taxes, fees, or assessments, and will report any winnings (purse money) received from Thunder Hill Raceway. DRIVERS SIGNATURE ______________________________________________ DATE ___________________________________________________________ Announcer Sheet Driver'sName_____________________________________________________ Home Town______________________________________________________ Car Make/Model/Year______________________________________________ Car # (assigned race day) __________________________________________ Sponsor/Personal Information________________________________________ |