MASON COUNTY MOTOSPORTS
SPRING DEMOLITION DERBY
JUNE 13, 2009
Check Back Later for Details
For More Information Call (304) 882-3962
2009 Mason County Fair
Spring Demolition Derby Entry Form
Drivers Name:___________________________________________________
Address:_______________________________________________________
City, State, Zip___________________________________________________
Phone:________________________________________________________
Large Car_______________ Mini Car_______________
Car Make/Model:___________________________Car Number___________
Sponsors:_____________________________________________________
_____________________________________________________________
RELEASE:
In Consideration for being allowed to participate in the demolition derby at the Mason County Fairgrounds, the undersigned agrees to release, indemnify and hold harmless the Mason County Fair, the Mason County Fair Board, their officers, agents or employees, any and all promoters and officials from any and all liability and damages in any way resulting from the undersigneds participation in said demmolition derby.
_____________________________________________________________
Participant
_____________________________________________________________
Witness
_____________________________________________________________
Date |