Demolition Derby Entry Form

Go here to download the Demolition Derby Entry Form

MONTEZUMA COUNTY DEMOLITION DERBY

SATURDAY AUGUST 3rd 5:00PM at the Montezuma County Fairgrounds Racetrack

Entries will be due Saturday August 4th before the driver, UTV & tough truck meeting @ 4:00
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Drivers Name:

Address:

Birthdate:

Phone #:

Make /Model of Vehicle

Year

Color

NUMBER

***************************************************************************************** EMERGENCY CONTACT PHONE
**************************************************************************************** Class entering CAR TRUCK UTV TOUGH TRUCK
Car sponsor(s) Limit of 3 for Announcing)
1
2
3

ENTRY FEES: Drivers UTV & TOUGH TRUCK $40.00
DERBY $50.00
Pit Crew (Each) $10.00 Limit of 7 per Crew

I have received a copy of the rules and regulations and agree to said rules and regulations as stated.

Drivers Signature Date

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IF YOU HAVE ANY QUESTIONS PLEASE CALL
Duane Bradshaw 970-560-2930

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