Demolition Derby - Registration
Kanabec County Fair 2012
Entry Form
Additional entry forms/rules can be printed at www.kanabecfair.org
make checks payable to the “Kanabec County Fair”
READ all pages of The RULES carefully. The rules will be strictly enforced!!!
Pre registration: $35.00 Driver Only (July 19th or before) Late entry:$45 Driver Only (after July 19th)
Extra Late inspection Fee (arriving after 6:45 pm) – additional $10
Pit Passes $20.00 each
Stock Trucks_____ Pro-Stock Cars _____
Mini Pick-Up Truck______ Semi-Stock Trucks _____ Stock 80’s Cars _______
Make______________________ Model__________________ Car No.______________
Sponsor___________________________________________________________________
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. Winners may be required to complete a W9 to collect prizes.
I am 16 years of age or older
Name________________________________________Date of birth________
Address________________________________________________________
City__________________State_________Zip____________County_________
Phone 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 ___________2012 Notary public
Mail completed entry to:
Rene Barn 308 union st Grasston, MN 55030
Any questions on the rules call Pete at 320-358-0865 or e-mail This e-mail address is being protected from spambots. You need JavaScript enabled to view it.


