OFFICIAL ENTRY FORM

     

    Participant's Name

    Name:

    Address:

    City:    State:     Zip: 

    Phone: 

    Email:

     

    Vehicle Information:

    Car:     Truck:  (Choose one)

    Year: 

    Make: 

    Model: 

    Color: 




     

    In submitting this Entry Form, I hereby waive and release all other contestants, host, sponsors and tournament officials from all claim of injury and/or damage incurred in connection with this event.