KANABEC COUNTY FAIR 2008 DEMO DERBY
make checks payable to the “Kanabec County Fair”
Saturday July 19- 8:00pm
Compact Cars, Full-Size Cars - 1980 & Newer, Mini SUV/Pick-up Truck,
Full Size Pick-up Truck
READ all pages of The RULES carefully. The rules will be strictly enforced!!!
Pre registration: $35.00 Driver Only (July 17 or before)
Late entry:$50 Driver Only (after July 17) ( Max 100 Cars)
Pit Passes $15:00 each
Please indicate in which class you are entering and describe the vehicle:
Compacts_____ Full Size Car-1980&Newer______
Mini SUV/ Pick-Up Truck______ Full Size Pick-upTruck _____
Make_____________________ Model__________________ Car No.____________________
I understand that the sponsors and administrators of the contest are not responsible for any accident, injury, damage or mechanical breakage should occur. In consideration of you accepting this entry, I hereby for myself, my heirs, executors, and administrators, their agents, servants, and all other persons connected with these competitions of and from any loss, damage, or injury sustained by me or my equipment during this competition.
Must provide Social Security number to claim prize money.
1099’s will be issued.
I am 18 years of age or older
Name________________________________________________ Date of birth________
Address_________________________________________________________________
City _________________________State_________Zip____________County__________
Drivers License No.________________________________________________________
Phone Number____________________________Social Security number____________
Signature of competitor____________________________________
if under 18 years of age, Parent or Guardian must sign the form and both signatures must be notarized
Signature of Parent or Guardian______________________________________
Subscribed and sworn to me before this_______day of ___________2008
Notary public
Mail completed entry to: John Angstman
2775 215th Ave
Mora, MN 55051
320-679-1546