Demo Derby Release and Announcer Forms 2013 - Northwest ...
Demo Derby Release and Announcer Forms 2013 - Northwest ...
Demo Derby Release and Announcer Forms 2013 - Northwest ...
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NW MONTANA FAIR & RODEO<br />
25 th Annual <strong>Demo</strong>lition <strong>Derby</strong><br />
ENTRY BLANK – RELEASE<br />
BE SURE AND READ THE ENCLOSED INFORMATION CAREFULLY!<br />
The undersigned, for <strong>and</strong> in consideration of the right to drive <strong>and</strong> participate in the NORTHWEST<br />
MONTANA FAIR DEMOLITION DERBY at the Flathead County Fairgrounds, Kalispell, Montana, hereby<br />
releases the Flathead County Fair Board, its officers <strong>and</strong>/or agents, Flathead County, <strong>and</strong> KOFI/Monster<br />
from any <strong>and</strong> all liability <strong>and</strong> responsibility for any damages to the owner’s car, bodily injury , or death<br />
which may result from preparations for or participation in the DEMOLITION DERBY at the Flathead<br />
County Fairgrounds, or any activities incidental thereto.<br />
It is further understood <strong>and</strong> agreed that the undersigned is at least eighteen (18) years of age or older.<br />
The further consideration for this release <strong>and</strong> waiver is the right to participate in the prize money<br />
offered to the winners.<br />
*********************************<br />
For value received <strong>and</strong> privilege of participation in competition in the Flathead County Fairground’s<br />
DEMOLITION DERBY, <strong>and</strong> other valuable considerations, hereby acknowledged, I hereby waive any <strong>and</strong><br />
all claims I might have or assert against the Flathead County Fair Board, Flathead County, or any other<br />
persons connected therewith for loss <strong>and</strong> damage.<br />
It is understood <strong>and</strong> agreed that I am entering these contests at my own risk <strong>and</strong> responsibility, both for<br />
my person <strong>and</strong> property <strong>and</strong> I agree to read, abide by, <strong>and</strong> be bound by the rules <strong>and</strong> regulations<br />
governing the NORTHWEST MONTANA FAIR DEMOLITION DERBY.<br />
Name________________________________________________________________________________<br />
Mailing Address____________________________________City________________________State____<br />
Zip code___________________<br />
Contact Phone_____________________________________<br />
email address:___________________________________<br />
Make & Year of Car_____________________________________________________________________<br />
Owner of Car__________________________________________________________________________<br />
Number of Pitmen____________<br />
I, the driver, have read the rules <strong>and</strong> ACCEPT THE DECISION OF THE JUDGES AS FINAL. I agree to use the<br />
track in its present condition.<br />
Signature_________________________________________Date__________________Age___________<br />
Amount Received $_______________ Receipt Number_________________<br />
04/<strong>2013</strong>
NW MONTANA FAIR & RODEO<br />
25 th Annual <strong>Demo</strong>lition <strong>Derby</strong><br />
ANNOUCER INFORATION<br />
*****PLEASE PRINT LEGIBLY*****<br />
DRIVER NAME_________________________________________________________________________<br />
CITY OF RESIDENCE_____________________________________________________________________<br />
MAKE & MODEL OF CAR_________________________________________________________________<br />
SPONSOR(S) OF CAR____________________________________________________________________<br />
_____________________________________________________________________________________<br />
_____________________________________________________________________________________<br />
_____________________________________________________________________________________<br />
_____________________________________________________________________________________<br />
PITMEN______________________________________________________________________________<br />
*******************************************************************<br />
HOBBIES/INTERESTS OF SPECIAL NOTE<br />
_____________________________________________________________________________________<br />
_____________________________________________________________________________________<br />
_____________________________________________________________________________________<br />
HEAT #________<br />
***Cars remaining WILL be towed at owner’s expense!!!!!!***<br />
04/<strong>2013</strong>