Downhill Derby
Car Entry Form
First Name
*
Last Name
*
Address
Street Address
Street Address Line 2
City
State / Province
Postal / Zip Code
Email Address
*
Phone Number
*
Car Category
*
Youth competitive
Youth novelty
Adult competitive
Adult novelty
Select the number of riders
*
prev
next
( X )
Number of Adults
$
40.00
Quantity
1
2
3
4
5
6
7
8
9
10
Number of Children
$
25.00
Quantity
1
2
3
4
5
6
7
8
9
10
Additional T-Shirts
$
15.00
Quantity
1
2
3
4
5
6
7
8
9
10
Total
$
0.00
Please list sizes for each T-Shirt. Note: each participant receives a shirt. Available shirt sizes: Youth medium, Youth large, Adult small, Adult medium, Adult large, Adult XL, Adult 2XL
*
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