DUAL DEMOLITION DERBY
Tri-County Fair Board
P.O. Box 928
Richland, MO 65556
573-765-2711
RULES AND REGULATIONS
The following rules and/or regulations set forth herein are designed to provide for the orderly conduct of the Tri-County Fair Board Demolition Derby to establish minimum acceptable requirements for such events. These rules shall govern the condition of all events, and, by participating in these events, all participants are deemed to have complied with these rules. No express or implied warranty of safety shall result from publication of or compliance with these rules and/or regulations. They are intended as a guide for the conduct of the sport and are in no way a guarantee against injury or death to participant, spectator, or official. The Official shall be empowered to permit minor deviation from any of the specifications herein or impose any further restrictions that in their opinion do not alter the safety factor. Any interpretation or deviation of these rules is left to the discretion of the Officials and their decision is final. The Official reserves the right to approve and/or reject all entries.
PARTICIPANT ENTRIES:
A.
An entry fee will be charged for each car.
An entry fee will be charged for each car.B.All persons MUST sign entry form, insurance waiver and release form, and purchase pit pass before entering pit area. A sample of waiver and release form is printed on the reverse side of this sheet. All drivers and pit men will be required to sign it or one similar before entering pit area. PLEASE TAKE TIME TO READ IT!
All persons MUST sign entry form, insurance waiver and release form, and purchase pit pass before entering pit area. A sample of waiver and release form is printed on the reverse side of this sheet. All drivers and pit men will be required to sign it or one similar before entering pit area. PLEASE TAKE TIME TO READ IT!C.No one is allowed in race area under the influence of liquor. POSSESSION OF ALCOHOLIC BEVERAGES IN THE PIT AREA WILL RESULT IN LOSS OF PIT PASS AND EXPULSION FROM THE PITS.
No one is allowed in race area under the influence of liquor. POSSESSION OF ALCOHOLIC BEVERAGES IN THE PIT AREA WILL RESULT IN LOSS OF PIT PASS AND EXPULSION FROM THE PITS.D.First three (3) heat races will be filled with the early cars and the fourth and fifth heat races will be filled with late arrivals.
First three (3) heat races will be filled with the early cars and the fourth and fifth heat races will be filled with late arrivals.E.All drivers MUST be 16 years or older and MUST be able to provide proof of age at the request of Officials. Drivers 16 and 17 years old MUST have parents or guardian sign waiver and release form. NO EXCEPTIONS.
All drivers MUST be 16 years or older and MUST be able to provide proof of age at the request of Officials. Drivers 16 and 17 years old MUST have parents or guardian sign waiver and release form. NO EXCEPTIONS.AUTOMOBILE BODY REGULATIONS
A.Passenger cars, station wagons or convertibles. No trucks, Jeeps, Hearses, or Limousines. NO CHRYSLER IMPERIALS. Cars previously run in Demolition Derby may install new front clip. Any clip may be used on any car, MUST be installed in stock manner. Installation MUST be approved by Officials.
Passenger cars, station wagons or convertibles. No trucks, Jeeps, Hearses, or Limousines. NO CHRYSLER IMPERIALS. Cars previously run in Demolition Derby may install new front clip. Any clip may be used on any car, MUST be installed in stock manner. Installation MUST be approved by Officials.B.All cars MUST have front doors painted white with black numbers, your choice 1 to 100. NO other writing on these white doors. Special numbers will be allowed subject to the approval of Officials. NO PROFANITY will be allowed to be displayed on any portion of the car.
All cars MUST have front doors painted white with black numbers, your choice 1 to 100. NO other writing on these white doors. Special numbers will be allowed subject to the approval of Officials. NO PROFANITY will be allowed to be displayed on any portion of the car.C.All glass, side windows, rear windows, headlights and taillights MUST be removed before reaching racetrack. Rolling down windows is not permitted. Windshields may remain in car, but if removed, driver MUST wear approved face shield.
All glass, side windows, rear windows, headlights and taillights MUST be removed before reaching racetrack. Rolling down windows is not permitted. Windshields may remain in car, but if removed, driver MUST wear approved face shield.D.Rear seat of sedan MUST be removed, top and bottom. On station wagons all seats and decking MUST be removed. Station wagons MUST be emptied to floorboards. All cars MUST be swept clean, both drivers compartment and trunk. No spare tires, broken glass or trash, etc., allowed in cars.
Rear seat of sedan MUST be removed, top and bottom. On station wagons all seats and decking MUST be removed. Station wagons MUST be emptied to floorboards. All cars MUST be swept clean, both drivers compartment and trunk. No spare tires, broken glass or trash, etc., allowed in cars.E.All cars MUST have approved seat belts, secured to or around frame.
All cars MUST have approved seat belts, secured to or around frame.F.Battery may be moved, but MUST be securely fastened and covered in front seat passenger floorboards. ONLY ONE AUTOMOBILE TYPE BATTERY ALLOWED.
Battery may be moved, but MUST be securely fastened and covered in front seat passenger floorboards. ONLY ONE AUTOMOBILE TYPE BATTERY ALLOWED.G.Any type automotive radiator may be used but MUST be mounted in stock position. At driver’s option he may compete without radiator, but MUST run on water in block only. NO RESERVE TANKS.
Any type automotive radiator may be used but MUST be mounted in stock position. At driver’s option he may compete without radiator, but MUST run on water in block only. NO RESERVE TANKS.H.All doors may be welded and reinforced. All external body and internal cage reinforcing must be designed for protection of driver and/or rider. External body reinforcing zone will run from (6) inches in front of door to rear axle centerline. All internal cages will be limited to a specific area; they may be installed from base of front windshield to eighteen (18) inches behind front seat. Internal cage supports (down tubes) MUST be welded to flat part of frame rails. NO welding to or on frame arches front or rear.
All doors may be welded and reinforced. All external body and internal cage reinforcing must be designed for protection of driver and/or rider. External body reinforcing zone will run from (6) inches in front of door to rear axle centerline. All internal cages will be limited to a specific area; they may be installed from base of front windshield to eighteen (18) inches behind front seat. Internal cage supports (down tubes) MUST be welded to flat part of frame rails. NO welding to or on frame arches front or rear.I.Stock gas tank MUST be removed from original position and mounted in rear seat area and secured by existing seat belts or added metal straps. NO CHAINS OR RUBBER STRAPS or round bottom tanks. A Marine (boat) tank is recommended. All tanks MUST have a secure cap. All lines and fittings MUST be leakproof and meet approval of Officials. Electric fuel pumps are permitted but MUST have shut-off within reach of driver. NO MORE THAN THREE (3) GALLONS OF GAS IN TANK.
Stock gas tank MUST be removed from original position and mounted in rear seat area and secured by existing seat belts or added metal straps. NO CHAINS OR RUBBER STRAPS or round bottom tanks. A Marine (boat) tank is recommended. All tanks MUST have a secure cap. All lines and fittings MUST be leakproof and meet approval of Officials. Electric fuel pumps are permitted but MUST have shut-off within reach of driver. NO MORE THAN THREE (3) GALLONS OF GAS IN TANK.J.Any OEM shock canister may be bolted or welded on any car. Amounts of blots or welds may not exceed typical stock installation. For safety purposes shock tubes on shock bumpers may be lightly welded. Any OEM stock automobile bumper may be bolted or welded to the shock canister or stock bumper brackets. If you choose to bolt your bumpers to shock canister or stock bumper bracket, you may use a piece of chain for the all thread on the hood and/or deck lid down to the bumper. If you choose to weld your bumper to shock canisters or stock bumper brackets, no chain may be used. Fenders and bumper ends may be trimmed to allow for wheel clearance.
Any OEM shock canister may be bolted or welded on any car. Amounts of blots or welds may not exceed typical stock installation. For safety purposes shock tubes on shock bumpers may be lightly welded. Any OEM stock automobile bumper may be bolted or welded to the shock canister or stock bumper brackets. If you choose to bolt your bumpers to shock canister or stock bumper bracket, you may use a piece of chain for the all thread on the hood and/or deck lid down to the bumper. If you choose to weld your bumper to shock canisters or stock bumper brackets, no chain may be used. Fenders and bumper ends may be trimmed to allow for wheel clearance.K.Hoods MUST have two (2) holes, at least four (4) inches in diameter, on each side of carburetor – NOT directly on top of carburetor. IF HOOD IS REMOVED, EITHER FAN BLADE MUST BE REMOVED OR FAN BELT MUST BE CUT.
Hoods MUST have two (2) holes, at least four (4) inches in diameter, on each side of carburetor – NOT directly on top of carburetor. IF HOOD IS REMOVED, EITHER FAN BLADE MUST BE REMOVED OR FAN BELT MUST BE CUT.L.On all cars, hoods, trucks and tailgates may be secured with the following method: on front of car, two pieces of ¾ inch all thread, with a washer no larger than six (6) inches or ¼ inch thick, all threads MUST be mounted outboard of the radiator. In addition to all threads, four (4) ½ inch OD bolts with a washer no larger than two (2) inch square or four (4) pieces of wire or cable may be used on the hood. On deck lid of car, two pieces of ¾ inch all thread, with a washer no larger than six (6) inches or ¼ inch thick, all threads may be mounted anywhere on deck lid. In addition to all threads, four (4) ½ inch OD bolts with a washer no larger than two (2) inch square or four (4) pieces of wire or cable maybe used on the deck lid. On station wagons no all thread may be used in the rear. Tailgates MUST be secured by four (4) ½ inch OD bolts with a washer no larger than two (2) inch squares or four (4) pieces of wire or cable. All threads may be mounted through a stock body mount and replace existing bolt. All other body mount bolts may be replaced but MUST be replaced with OEM stock size bolt and washer. All rubber biscuits may be removed. All all-threads MUST have bolt on top and bottom and NO welds.
On all cars, hoods, trucks and tailgates may be secured with the following method: on front of car, two pieces of ¾ inch all thread, with a washer no larger than six (6) inches or ¼ inch thick, all threads MUST be mounted outboard of the radiator. In addition to all threads, four (4) ½ inch OD bolts with a washer no larger than two (2) inch square or four (4) pieces of wire or cable may be used on the hood. On deck lid of car, two pieces of ¾ inch all thread, with a washer no larger than six (6) inches or ¼ inch thick, all threads may be mounted anywhere on deck lid. In addition to all threads, four (4) ½ inch OD bolts with a washer no larger than two (2) inch square or four (4) pieces of wire or cable maybe used on the deck lid. On station wagons no all thread may be used in the rear. Tailgates MUST be secured by four (4) ½ inch OD bolts with a washer no larger than two (2) inch squares or four (4) pieces of wire or cable. All threads may be mounted through a stock body mount and replace existing bolt. All other body mount bolts may be replaced but MUST be replaced with OEM stock size bolt and washer. All rubber biscuits may be removed. All all-threads MUST have bolt on top and bottom and NO welds.M.ALL FRAMES MUST REMAIN IN OEM STOCK OUTSIDE NO WELD ZONES. ANY DRIVER CAUGHT WITH AN ALTERED FRAME AT CHECK-IN INSPECTION WILL NOT BE ALLOWED TOENTER THE CAR. ANY DRIVER CAUGHT WITH ALTERED FRAME AT POST RACE INSPECTION WILL FORFIET ALL PRIZE MONEY.
ALL FRAMES MUST REMAIN IN OEM STOCK OUTSIDE NO WELD ZONES. ANY DRIVER CAUGHT WITH AN ALTERED FRAME AT CHECK-IN INSPECTION WILL NOT BE ALLOWED TOENTER THE CAR. ANY DRIVER CAUGHT WITH ALTERED FRAME AT POST RACE INSPECTION WILL FORFIET ALL PRIZE MONEY.N.Suspension MUST remain STRICLY STOCK. Do not invert spring shackles on Fords. Do not crank up torsion bar suspension on Chrysler Corp. cars. All cars MUST have some give or bounce. NO stiff suspension. Screw in spring risers or blocks may be allowed at the discretion of the Officials to bring weak or sagging suspensions to level position bring such items to the track and obtain permission before installation.
Suspension MUST remain STRICLY STOCK. Do not invert spring shackles on Fords. Do not crank up torsion bar suspension on Chrysler Corp. cars. All cars MUST have some give or bounce. NO stiff suspension. Screw in spring risers or blocks may be allowed at the discretion of the Officials to bring weak or sagging suspensions to level position bring such items to the track and obtain permission before installation.O.Trailer Hitches, Class A or frame mounted MUST be removed. Class B or bumper mounted, trailer ball stub MUST be totally removed. Class B or bumper mounted, trailer ball stub MUST be cut off.
Trailer Hitches, Class A or frame mounted MUST be removed. Class B or bumper mounted, trailer ball stub MUST be totally removed. Class B or bumper mounted, trailer ball stub MUST be cut off. RULES AND REGULATIONS (continued)
ENGINES, TRANSMISSION, REAR END REGULATIONS:
A.Any engine transmission may be used in any car, but MUST be mounted in a stock position. On a V-block motor, front spark plug MUST be even or in front of upper ball joint; on in-line motors, number two (2) spark plug MUST be even or in front of upper ball joint.
Any engine transmission may be used in any car, but MUST be mounted in a stock position. On a V-block motor, front spark plug MUST be even or in front of upper ball joint; on in-line motors, number two (2) spark plug MUST be even or in front of upper ball joint.B.Engine cooling system MUST be drained and flushed free of antifreeze. Air conditioner Freon R-12 MUST be properly evacuated from system. This work MUST be accomplished BEFORE arrival at race site.
Engine cooling system MUST be drained and flushed free of antifreeze. Air conditioner Freon R-12 MUST be properly evacuated from system. This work MUST be accomplished BEFORE arrival at race site.C.Chained, welded, or homemade motor mounts will be permitted, but MUST meet approval of Officials.
Chained, welded, or homemade motor mounts will be permitted, but MUST meet approval of Officials.D.Any type header is allowed, but MUST be directed away from driver compartment.
Any type header is allowed, but MUST be directed away from driver compartment.E.Transmission oil coolers permitted. Mountings and lines and fittings MUST be approved by inspection personnel.
Transmission oil coolers permitted. Mountings and lines and fittings MUST be approved by inspection personnel.F.Any automobile rear end (NO TRUCKS OR FLOATER REAR ENDS) can be used in any car. This rule does not mean you can transform a coil spring to leaf spring or vice versa. On models originally equipped with leaf springs, stock leaf springs and hangers MUST be used. On models originally equipped with coil springs, stock springs and trailing arms MSUT be used. Homemade spring perches or homemade trailing arm brackets may be welded to rear end. All cars will be required to have some give and bounce, and installation MUST be approved by Officials.
Any automobile rear end (NO TRUCKS OR FLOATER REAR ENDS) can be used in any car. This rule does not mean you can transform a coil spring to leaf spring or vice versa. On models originally equipped with leaf springs, stock leaf springs and hangers MUST be used. On models originally equipped with coil springs, stock springs and trailing arms MSUT be used. Homemade spring perches or homemade trailing arm brackets may be welded to rear end. All cars will be required to have some give and bounce, and installation MUST be approved by Officials.G.Any drive shaft or U joint may be used. Welding of drive shafts permitted.
Any drive shaft or U joint may be used. Welding of drive shafts permitted.H.Two (2) loops of chain or wire over the stock cross member and around rear end is permitted and recommended. This will prevent body from raising off frame and making it difficult for driver to see out back window.
Two (2) loops of chain or wire over the stock cross member and around rear end is permitted and recommended. This will prevent body from raising off frame and making it difficult for driver to see out back window.TIRES:
A.Only sixteen (16) inch or smaller tires and wheels will be allow. NO SPLIT RIMS ALLOWED.
Only sixteen (16) inch or smaller tires and wheels will be allow. NO SPLIT RIMS ALLOWED.B.Forklift and skid loader tires permitted. NO paddle, pulling or cut tires.
Forklift and skid loader tires permitted. NO paddle, pulling or cut tires.C.All wheels and rims MUST be strictly stock. No welding or reinforcing allowed.
All wheels and rims MUST be strictly stock. No welding or reinforcing allowed.D.Liquid in tires permitted, studs or screws in rims to hold tires in place permitted.
Liquid in tires permitted, studs or screws in rims to hold tires in place permitted.RACING REGULATIONS:
A.Any driver belonging to a national organization or accumulating points for a nation organization will be considered to be professional and will not be allowed to enter in amateur competition.
Any driver belonging to a national organization or accumulating points for a nation organization will be considered to be professional and will not be allowed to enter in amateur competition.B.All drivers MUST wear approved helmets, long pants and shirt.
All drivers MUST wear approved helmets, long pants and shirt.C.Entries limited to one (1) car per driver per show.
Entries limited to one (1) car per driver per show.D.Drivers may change cars for the Feature Event providing the car changed to has run in a prior heat at this derby.
Drivers may change cars for the Feature Event providing the car changed to has run in a prior heat at this derby.E.A driver that receives a black flag for sandbagging or an intentional door hit will be disqualified from all further competition for that night.
A driver that receives a black flag for sandbagging or an intentional door hit will be disqualified from all further competition for that night.F.A drivers meeting will be held by the Director of Competition preceding derby.
A drivers meeting will be held by the Director of Competition preceding derby.G.All cars should be signed in one hour before race time.
All cars should be signed in one hour before race time.H.All cars manufactured prior to 1977 will be paid posted prize. All cars manufactured 1977 and later will receive a $100.00 bonus.
All cars manufactured prior to 1977 will be paid posted prize. All cars manufactured 1977 and later will receive a $100.00 bonus.I.All cars MUST be removed from derby site by 10:00 A.M. the following day unless other wise stated at the drivers meeting. Failure to do this will result in cars being removed by and becoming property of local salvage operator.
All cars MUST be removed from derby site by 10:00 A.M. the following day unless other wise stated at the drivers meeting. Failure to do this will result in cars being removed by and becoming property of local salvage operator.J.Final 3 cars of feature race will be inspected by Officials before leaving the track. Prize money will be forfeited if not inspected.
Final 3 cars of feature race will be inspected by Officials before leaving the track. Prize money will be forfeited if not inspected.RELEASE AND WAIVER OF LIABILITY, ASUMPTION OF RISK AND INDEMNITY AGREEMENT
IN CONSIDERATION of being permitted to compete, officiate, observe, work, or participate in any way in the EVENT (S) or being permitted to enter for any purpose any RESTRICTED AREA (defined as any area requiring special authorization, credentials, or permission to enter or any area to which admission by the general public is restricted or prohibited), EACH OF THE UNDERSIGNED, for himself, his personal representatives, heirs and next of kin:
1.Acknowledges, agrees, and represents that he has or will immediately upon entering any of such RESTRICTED AREAS, and will continuously thereafter, inspect the RESTRICTED AREAS which he enters and he further agrees and warrants that, if at any time, he is in or about RESTRICTED AREAS and he feels anything to be unsafe, he will immediately advise Officials of such and will leave the RESTRICTED AREAS and/or refuse to participate further in the EVENT (S).
Acknowledges, agrees, and represents that he has or will immediately upon entering any of such RESTRICTED AREAS, and will continuously thereafter, inspect the RESTRICTED AREAS which he enters and he further agrees and warrants that, if at any time, he is in or about RESTRICTED AREAS and he feels anything to be unsafe, he will immediately advise Officials of such and will leave the RESTRICTED AREAS and/or refuse to participate further in the EVENT (S).2.HEREBY RELEASES, WAIVES, DISCHARGES AND COVENANTS NOT TO SUE the promoters, participants, racing associations, sanctioning organizations or any subdivision thereof, track operators, track owners, officials, car owners, drivers, pit crews, rescue personnel, any persons in any RESTRICTED AREA, promoters, sponsors, advertisers, owners and lessees of premised used to conduct the EVENT (S), premises and event inspectors, surveyors, underwriters, consultants and others who give recommendations, directions, or instructions, or engage in risk evaluation or loss control activities regarding the premises or EVENT (S) and each of them, their directors, officers, agents and employees, all for the purposes herein referred to as “Releases”.
HEREBY RELEASES, WAIVES, DISCHARGES AND COVENANTS NOT TO SUE the promoters, participants, racing associations, sanctioning organizations or any subdivision thereof, track operators, track owners, officials, car owners, drivers, pit crews, rescue personnel, any persons in any RESTRICTED AREA, promoters, sponsors, advertisers, owners and lessees of premised used to conduct the EVENT (S), premises and event inspectors, surveyors, underwriters, consultants and others who give recommendations, directions, or instructions, or engage in risk evaluation or loss control activities regarding the premises or EVENT (S) and each of them, their directors, officers, agents and employees, all for the purposes herein referred to as “Releases”.3.FROM ALL LIABILITY, TO THE UNDERSIGNED, his personal representatives, assigns, heirs, and next of kin FOR ANY AND ALL LOSS OR DAMAGE, AND ANY CLAIM OR DEMANDS THEREFORE ON ACCOUNT OF INJURY OT THE PERSON OR PROPERTY OR RESULTING IN DEATH OF THE UNDERSIGNED ARISING OUT OF OR RELATED TO THE EVENT (S). WHETHER CUASED BY THE NEGLIGENCE OF THE RELEASEES OR OTHERWISE.
FROM ALL LIABILITY, TO THE UNDERSIGNED, his personal representatives, assigns, heirs, and next of kin FOR ANY AND ALL LOSS OR DAMAGE, AND ANY CLAIM OR DEMANDS THEREFORE ON ACCOUNT OF INJURY OT THE PERSON OR PROPERTY OR RESULTING IN DEATH OF THE UNDERSIGNED ARISING OUT OF OR RELATED TO THE EVENT (S). WHETHER CUASED BY THE NEGLIGENCE OF THE RELEASEES OR OTHERWISE.4.HEREBY ASSUMES FULL RESPONSIBILITY FOR ANY RISK OR BODILY INJURY, DEATH OR PROPERTY DAMAGE arising out of or related to the EVENT (S) whether caused by the NEGLIGENCE OF RELEASEES or otherwise.
HEREBY ASSUMES FULL RESPONSIBILITY FOR ANY RISK OR BODILY INJURY, DEATH OR PROPERTY DAMAGE arising out of or related to the EVENT (S) whether caused by the NEGLIGENCE OF RELEASEES or otherwise.5.HEREBY acknowledges that THE ACTIVITIES OF THE EVENT (S) ARE VERY DANGEROUS and involve the risk of serious injury and/or death and/or property damage. Each of the UNDERSIGNED also expressly acknowledges that INJURIES RECEIVED MAY BE COMPOUNDED ORINCREASED BY NEGLIGENT RESCUE OPERATON OR PROCEDURES OF THE RELEASEES.
HEREBY acknowledges that THE ACTIVITIES OF THE EVENT (S) ARE VERY DANGEROUS and involve the risk of serious injury and/or death and/or property damage. Each of the UNDERSIGNED also expressly acknowledges that INJURIES RECEIVED MAY BE COMPOUNDED ORINCREASED BY NEGLIGENT RESCUE OPERATON OR PROCEDURES OF THE RELEASEES.6.HEREBY agrees that this Release and Waiver of Liability, Assumption of Risk and Indemnity Agreement extends to all acts of negligence by the Releasees, INCLUDING NEGLIGENT RESCUE OPERATIONS and is intended to be as broad and inclusive as is permitted by the laws of the Province or State in which the Event (s) is/are conducted and that if any portion thereof is held invalid, it is agreed that the balance shall, notwithstanding, continue in full legal force and effect.
HEREBY agrees that this Release and Waiver of Liability, Assumption of Risk and Indemnity Agreement extends to all acts of negligence by the Releasees, INCLUDING NEGLIGENT RESCUE OPERATIONS and is intended to be as broad and inclusive as is permitted by the laws of the Province or State in which the Event (s) is/are conducted and that if any portion thereof is held invalid, it is agreed that the balance shall, notwithstanding, continue in full legal force and effect.I HAVE READ THIS RELEASE AND WAIVER OF LIABILITY, ASSUMPTION OF RISK AND INDEMNITY AGREEMENT, FULLY UNDERSTAND ITS TERMS, UNDERSTAND THAT I HAVE GIVEN UP SUBSTANTIAL RIGHTS BY SIGNING IT AND HAVE SIGNED IT FREELY AND VOLUNTARILY WITHOUT ANY INDUCEMENT, ASSURANCE OR GUARANTEE BEING MADE TO ME AND INTEND MY SIGNATURE TO BE A COMPLETE AND UNCONDITIONAL RELEASE OF ALL LIABILITY TO THE GREATEST EXTENT ALLOWED BY LAW.
**AFTER READING THE ABOVE RULES AND REGULATIONS INCLUDING RELEASE AND WAIVER OF LIABILITY AND INDEMNITY AGREEMENT YOU MUST FILL OUT AND SIGN THE FORM ON THE BOTTOM
I HAVE READ THE RULES AND ACCEPT THE DECISION OF THE JUDGES AS FINAL
Driver Signature _______________________________________
Please PRINT the following:
Name:__________________________________________________
Date:____________ Age ________SS#___________________
Address________________________________________________
City____________________State___________Zip_____________
Make of Car _____________Model of Car___________________
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Rider Signature_______________________________________
Please PRINT the following:
Name:__________________________________________________
Date:____________ Age ________SS#___________________
Address________________________________________________
City____________________State___________Zip_____________
Make of Car _____________Model of Car___________________
DEMOLITION DERBY
Read the following rules and regulations, print out and sign, then mail , along with the $20 for each driver and each rider to:
