demo_derby_entry


	Name:

	Address:

	City:

	State:

	Zip:

	Phone:

	Make:

	Model:

	Year:

	Number:				First come, first choice!

	Sponsors:

	Signature:

The entry fee before 7/17/2010 is $35.00.
Please make checks payable to JBD Demo Derby and mail them to:
JBD Demo Derby

2010 JBD Demolition Derby Entry Form

To register by mail, please fill out and print the following form:

By signing above I, do hereby waive and/or rescind any and all rights to file
claim for compensation or damages from the Jim Bridger Demolition Derby
Committee, Bridger Volunteer Fire Dept., Bridger Rodeo Complex or any of the
officials at the Demolition Derby for injuries or damages I may encounter while
participating in the above mentioned demolition derby.