Erie County Fair

DEMOLITION DERBY ENTRY FORM

Entry Fee: $40.00 until Aug. 11, 2010. $50.00 after Aug. 11, 2010.

Full Size Car ____ Compact Car ____ Full Size Truck ____  Compact Truck ____

                       Amt. Paid: _____________ Check No.: ___________ Cash: Y / N

                      Car No.: _______________ Driver’s License No.: __________________

                       Name: ________________________________Age: ______Birth date:__________

                       Address: ___________________________________________________________

                       City: _________________________State: ___________ Phone: ______________

                       I agree to abide by the specifications and rules outlined elsewhere or forfeit any and all monies paid to participate in this Demolition Derby.

                       Signature _______________________________________

                       Parent’s Signature ________________________________

                       (If driver is under 18 years of age – FORM MUST BE NOTARIZED)

                       DRIVERS: Titles will be checked in the pit area on day of the Demolition Derby. You must have a title to run in the Derby.

                       You must provide, at this time, the names of your four (4) pit crewmembers. Pit Crew Passes are $20.00 per crew person. Only the members,

                       whose names are listed, will be permitted in the pit area. Changes must be made in person, by the car’s driver, at the Erie County Fair Office before

                       the start of the pit meeting.

                       PIT CREW MEMBERS:

                       ____________________________________                                ____________________________________

                       ____________________________________                                 ____________________________________

*****Make checks payable to: Erie Co. Agricultural Society*****

Please remit entry form and fee along with clear photocopy of driver’s valid license to:

                      In Person:                                                                                                                       Or Mail to

                      The Erie County Fair Office                                                                                       Erie County Agricultural Society,

                      3110 Columbus Ave. Sandusky, OH                                                                         P.O. Box 2436

                      during Office hours Starting July 5, 2010                                                            Sandusky, OH 44871

                      M, W, F – 10-2 and 4-7

 

 

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