Post by cddaonline on Mar 16, 2017 7:52:19 GMT -5
Marion County Demolition Derby‐July 29th, 2017; 7 p.m.
Main Event:2‐Man Superstock Team Derby
Over $8,000 in prize money & trophies!
2‐Man Teams $250/team Entry Fee by May 1st
After May 1st $350/team
Lawnmowers, Bonestock, Figure 8, Compacts
$30 Entry Fee
Power Wheels $5 (all PW entries will receive their $5 back after they compete‐ Pre‐entry by
July 20th)
ALL CDDA RULES ARE POSTED IN THIS FORUM
See MarionCountyFairKs.org for complete rules and details.
Event Tickets: Adult: $10 | Children 6‐12 yrs: $6 | 5 & under: Free
Pit Passes $25
2-MAN TEAM DERBY ENTRY FORM
Saturday, July, 29th, 2016
Pit Gates open from 1-6p.m. Inspections begin at 2:30 p.m. Derby starts at 7 p.m.
This is a C.D.D.A. Midwest Championship Qualifier-Preran cars are OK
MARION COUNTY FAIR ASSOCIATION
PO Box 304; Hillsboro, Kansas 67063
620-381-0109
Email: MNCoFairManager@gmail.com
$250 ENTRY FEE UNTIL MAY 1ST; $350 AFTER MAY 31ST
NO REFUNDS ON ENTRY FEE. FEE MUST ACCOMPANY COMPELTED FORM.
Team Color: _______________________ (Both cars must be painted in the same pattern and color!)
Team Member #1:____________________________________________________________ Age: _____
Address: _____________________________________________________________
_____________________________________________________________
Telephone # ________________________________________ Driver’s License #____________________
Email ________________________________________________ Car # _________________________
Team Member #2:____________________________________________________________ Age: _____
Address: _____________________________________________________________
_____________________________________________________________
Telephone # ________________________________________ Driver’s License #____________________
Email ________________________________________________ Car # _________________________
Team Derby Sponsors (Include sponsor name and town)
1.
2.
3.
4.
5.
DEMOLITION DERBY DRIVER’S APPLICATION & RELEASE
• I hereby request permission to enter the Demolition Derby to be held during the Marion county fair at the Marion County Fair Grounds.
• I hereby agree to abide by all the Demolition Derby Rules and Regulations.
• I will be responsible for any and all taxes that may be imposed on any prizes I may receive.
• I acknowledge the receipt of this document of application and release kit.
• I understand that the Demolition Derby is a dangerous event and that I run the risk of bodily injury or death when I enter. I understand that I am giving up any and all rights I may have compensation for damages, injuries, or death.
• I understand that the Demolition Derby and it’s individual events are dangerous and that my child runs the risk of bodily injury or death when in the pit area or/competing in the Jr. Division of the Compact Figure 8 Race and/or Lawn Mower Derby. Having these things in mind, I, the undersigned parent, personally assume all risk of property damage, personal injury, and/or death that may result from my child’s participation in the Demolition derby whether as a driver, owner, mechanic, attendant, or in any other capacity. I further understand at the undersigned parent or legal guardian, I WILL remain with my child in the pits/area throughout the duration of the demo derby, including all aspects associated with thereof. As the undersigned parent or legal guardian, I will ensure my child abide by all Demolition Derby Rules and Regulations.
I personally assume all risk of property damage, personal injury, and death that may result from my participation in the Marion County Fair Demolition derby. I hereby release the City of Hillsboro, Marion County Fair Association, and its agents, officers, members and employees from any and all liability to me, my heirs, my child, his or her heirs, and personal representatives arising from my participation or my child’s participation in the Demolition Derby and its individual events. I further understand that I many have to compensate for damages, injuries or death.
Team Member #1__________________________________________________________Date: ________
Team Member #2 _________________________________________________________ Date: ________
Required for Pit Crew Members (ages 14-17) & Team Derby Participants (ages 16-17):
Name of Child: ________________________________________________________DOB_____________
Parent Signature______________________________________________________________
Notary Public Signature_____________________________________ Notary Seal:
Main Event:2‐Man Superstock Team Derby
Over $8,000 in prize money & trophies!
2‐Man Teams $250/team Entry Fee by May 1st
After May 1st $350/team
Lawnmowers, Bonestock, Figure 8, Compacts
$30 Entry Fee
Power Wheels $5 (all PW entries will receive their $5 back after they compete‐ Pre‐entry by
July 20th)
ALL CDDA RULES ARE POSTED IN THIS FORUM
See MarionCountyFairKs.org for complete rules and details.
Event Tickets: Adult: $10 | Children 6‐12 yrs: $6 | 5 & under: Free
Pit Passes $25
2-MAN TEAM DERBY ENTRY FORM
Saturday, July, 29th, 2016
Pit Gates open from 1-6p.m. Inspections begin at 2:30 p.m. Derby starts at 7 p.m.
This is a C.D.D.A. Midwest Championship Qualifier-Preran cars are OK
MARION COUNTY FAIR ASSOCIATION
PO Box 304; Hillsboro, Kansas 67063
620-381-0109
Email: MNCoFairManager@gmail.com
$250 ENTRY FEE UNTIL MAY 1ST; $350 AFTER MAY 31ST
NO REFUNDS ON ENTRY FEE. FEE MUST ACCOMPANY COMPELTED FORM.
Team Color: _______________________ (Both cars must be painted in the same pattern and color!)
Team Member #1:____________________________________________________________ Age: _____
Address: _____________________________________________________________
_____________________________________________________________
Telephone # ________________________________________ Driver’s License #____________________
Email ________________________________________________ Car # _________________________
Team Member #2:____________________________________________________________ Age: _____
Address: _____________________________________________________________
_____________________________________________________________
Telephone # ________________________________________ Driver’s License #____________________
Email ________________________________________________ Car # _________________________
Team Derby Sponsors (Include sponsor name and town)
1.
2.
3.
4.
5.
DEMOLITION DERBY DRIVER’S APPLICATION & RELEASE
• I hereby request permission to enter the Demolition Derby to be held during the Marion county fair at the Marion County Fair Grounds.
• I hereby agree to abide by all the Demolition Derby Rules and Regulations.
• I will be responsible for any and all taxes that may be imposed on any prizes I may receive.
• I acknowledge the receipt of this document of application and release kit.
• I understand that the Demolition Derby is a dangerous event and that I run the risk of bodily injury or death when I enter. I understand that I am giving up any and all rights I may have compensation for damages, injuries, or death.
• I understand that the Demolition Derby and it’s individual events are dangerous and that my child runs the risk of bodily injury or death when in the pit area or/competing in the Jr. Division of the Compact Figure 8 Race and/or Lawn Mower Derby. Having these things in mind, I, the undersigned parent, personally assume all risk of property damage, personal injury, and/or death that may result from my child’s participation in the Demolition derby whether as a driver, owner, mechanic, attendant, or in any other capacity. I further understand at the undersigned parent or legal guardian, I WILL remain with my child in the pits/area throughout the duration of the demo derby, including all aspects associated with thereof. As the undersigned parent or legal guardian, I will ensure my child abide by all Demolition Derby Rules and Regulations.
I personally assume all risk of property damage, personal injury, and death that may result from my participation in the Marion County Fair Demolition derby. I hereby release the City of Hillsboro, Marion County Fair Association, and its agents, officers, members and employees from any and all liability to me, my heirs, my child, his or her heirs, and personal representatives arising from my participation or my child’s participation in the Demolition Derby and its individual events. I further understand that I many have to compensate for damages, injuries or death.
Team Member #1__________________________________________________________Date: ________
Team Member #2 _________________________________________________________ Date: ________
Required for Pit Crew Members (ages 14-17) & Team Derby Participants (ages 16-17):
Name of Child: ________________________________________________________DOB_____________
Parent Signature______________________________________________________________
Notary Public Signature_____________________________________ Notary Seal: