Sponsor: Sponsor: Cumberland Salvage INC. Lakeside Garage

Sponsor:
Cumberland Salvage INC.
Sponsor:
Lakeside Garage
LAW ENFORCEMENT DEMOLITION DERBY
Registration fee of $20.00 per car
Registration fee does not include admission – Everyone Pays at the Gate
Name:_____________________________________________________________ Age:_______
Address:___________________________________________________________
City, State, Zip:______________________________________________________
Email:__________________________________________
Phone:_______________________
Please register me for: Tuesday, September 29th, 2015
$___________________________
Car #___________________
$___________________________
Car #___________________
$___________________________
Car #___________________
All Entrants must return an Official Entry Blank, Registration Fee, and a signed Release Agreement to:
Cumberland Farmer’s Club;
Don Doyle, VP, Superintendent
72 Turkey Lane, Auburn ME 04210
(207)838-0108
OR: May be returned to the Main Office at the Cumberland Fair Grounds
between 9a-3p September 22th - September 25th, 2015
Prizes for the Law Enforcement Derby are:
Special Feature –1st Prize $700 plus Trophy; 2nd Prize $200 plus trophy
I HAVE READ THE RULES AND ACCEPT THE DECISION OF THE JUDGES AS FINAL AND ELECT TO USE THE
TRACK IN ITS PRESENT CONDITION:
___________________________________________________________ ________________________
Signature
Date