| Trailer
Race Entry Form |
| September
24, 2011 |
| (Please Print) DRIVER
NAME __________________________________________________________________________________________ |
| |
| ADDRESS
_________________________________________________________________________________________________________ |
| |
| CITY
__________________________________________________ STATE __________________________
ZIP ________________________ |
| |
| PHONE ________________________________________________
SOCIAL SECURITY # __________________________________________ |
| |
| BIRTHDATE _____________________________________________
# OF DEMOS COMPETED IN ____________________________________ |
| |
| VEHICLE TYPE ___________________________________________
TYPE OF TRAILER ____________________________________________ |
| |
| TRAILER NAME/NUMBER ______________________________________________________________________________________________ |
| |
| SPONSORS
________________________________________________________________________________________________________ |
| |
|
_________________________________________________________________________________________________________________ |
| |
| _________________________________________________________________________________________________________________ |
| |
| I
have read the rules and accept the decision of the Officials as final and select
to use the track in its present condition |
| |
| SIGNED ___________________________________________________________________________________________________________ |
| |
