Attention: This form indicates that this driver / crew member wishes to participate in the listed event, and that they do so at their own risk. Furthermore, they agree to conduct themselves in a responsible manner while participating, and agree to follow the rules and regulations set forth by ONTARIO DEMOLITION DERBY officials as it relates to their conduct before, during, and after the scheduled event.  
   

ONTARIO DEMOLITION DERBY
RR#3, Bobcaygeon, Ontario, K0M 1A0
www.ontariodemoderby.com
Driver Entry Form
Drivers are to sign in by: (1.5 hours prior to the start of the event)
   
  Driver Information
   
1. Name:
   
2. Date of Birth:     Age:
   
3. Address:
City:      
Province:     Postal Code:
   
4. Telephone
Day:     Night:
   
5. E-mail:
   
6. Emergency Contact
 
Name:

Telephone
Home:     Work:
   
7. Drivers License No. :
 
   
 

Venue & Vehicle Information
   
1. Venue:      Russell Fair - September 6th, 2008        
 
2. Entry Fee:      $50 (per Class)        
 
3. Desired Event:

Pro Series Demolition Derby (Full Size)

  

4 Cylinder Demolition Derby Only

  

V6 Demolition Derby

4 Cyl Figure 8 Race Only

  

4 Cylinder & Figure 8 Race

  

Other:

 
4.

Vehicle
Make: 
Model:
Year:       Car #:

 
Sponsor Information
       Sponsor #1
       Sponsor #2
Signature (Check here if you agree with the Terms & Conditions)


Ontario Demolition Derby Representatives

By clicking on the check box to the left, you are attesting that you have read the Rules and Regulation located on the Demolition Derby page (www.russellfair.com/demolitionderby) and agree to the terms and conditions listed there.  

Jim Grant
Tel: (705) 738-5200
jgrant@ontariodemoderby.com
Doug Grant
Tel: (905) 464-1769
dgrant@ontariodemoderby.com
Attention: ONTARIO DEMOLITION reserves the right to disqualify or refuse entry to any participant or crew member. Registration Fees are non-refundable..