RACE FOR NIKOLAS “Mini-Nationals” Entry Form
May 4th, 2008, 1:00PM
Driver's Name_______________________
Address_____________________________
City_____________State________Zip_________
Phone#_____________E-Mail Address_____________________
By signing this form, you agree to the terms and
conditions set forth in the event
guidelines and if any
determined by the official, your points and entry fee
will be forfeited.
Advertising and Release - In consideration of
entering into this event, racers
agree to permit
advertising and publicity before and after the event,
and to relinquish all rights to
any photos or sell the same.
$25 entry fee and registration form must be received
by Sunday, May 4th at
12:00 noon. Credit cards accepted. Money
orders, certified checks, and cash
accepted. No cash by mail. Entry form may
be mailed without payment as long
as payment is received by deadline.
Stop in at
Entrant's Signature_________________________________Date_____________