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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>

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