Hidden Valley Motor Sports Park
Drivers Name : Drivers Licence #: ______________________________
Address: ____________________________________________________________________________________
City: _______________________ Prov.: _______________ Postal Code: ______________________
Phone: (H) _______________________(W) _______________________ E-Mail: _________________________
Crew Member #1: _________________________________ Member #2: ________________________________
Vehicle: Make: ____________________ Model: __________________________ Year: ___________________
Major Sponsors: ____________________________________________________________________________________________________________________________________________________________________________________________
Please Select One Of The Following:
8 Cylinder Demolition________ 4 Cylinder Demolition________ Truck Demolition________
Hit To Pass________ Tuff Truck________ Mud Bog ________ Hobby Stock________ Stock Truck________ Mini Stock/Claimer Car_________
Your Vehicle Number: _______________
*****ENTRY FEES INCLUDE 2 PIT CREW REGISTRATIONS *****
ALL DRIVER’S AND PIT CREW MUST SIGN WAIVER AND RELEASE FORMS
NO personal cheques. Money orders made out to the “Drumheller Demolition Derby Club” or cash ONLY!
Please do not send cash by mail.
Entry form and entry fee must be returned to:
Drumheller Demolition Derby Club
P.O. Box 36
Drumheller, Alberta
T0J 0Y0
PLEASE BE ADVISED THAT ALL DRIVERS MUST BRING VALID DRIVER’S LICENCE AND MUST PRESENT IT UPON REGISTRATION.