DEMOLITION DERBY
 APPLICATION 

 

Note: All applications are subject to review and approval by the Moto-Ring committee.
Applications not accepted will have their application fee fully refunded.

Full Name: Age:
Address: City:
Province: Postal Code:
Work Phone: Fax Number:
Home Phone: E-mail Address:
Car #: Sponsors:

Please select one of the following: 6-8 Cycl Class 4 Cycl Class

I have read the rules and I fully understand them and agree, to follow them 100%.

Signature:___________________________

Upon signing this entry form you release the Gloucester Fair Board from any and all liability

*** PLEASE NOTE: AS OF JAN 1/99 4 CYL STATION WAGONS ARE ALLOWED ***

*** PLEASE NOTE: 4 X 4 TRUCKS ARE NOT ALLOWED ***