Adams Agricultural Fair Demo Derby

Sunday August 7, 2010 - 2PM 

$700 to winner

Entry Fee $30.00

                        One (1) Driver and One (1) Mechanic per entry. Both must sign release form before entering event grounds.

  Driver                  Must have current drivers license.

                             Must be 18 years or older or have both parents, with one present, sign a release form.

   Driver                 Name _____________________________________ Phone__________________________

                             Address___________________________________________________________________

                             City______________________________________________ State _________ Zip _______

                             Date of Birth___/___/___         License Number___________________________ State_______

                             Year of Vehicle_______ Make __________ Model__________ Body Style______________

           VIN (optional)___________________Title#___________________                                                                                                                                     

                             Sponsors__________________________________________________________________

                             Years in Competition _____________________________________________   

                             Mechanic Must be at least 16; under 18 must have signed parents� consent.

                             Name_______________________________________________ Phone______________________

                             Address ________________________________________________________________________

                             City_________________________________________________State______________Zip______

                             Date of Birth___/___/___

                             Registration fee may be in the form of cash or money order or certified check only.  

                             Event participants are not employees of Dan Galvis or Skyfire Productions.

                             I have read the Skyfire  rules and regulations and will accept the decision of the event director as final

                             and I understand I will use the event grounds as directed in its shape. I agree to have vehicle at arena

                             and signed in 45 minutes before event start, no refunds for late arrivals. 

                             Driver   Date__________________ Signature_______________________________________

                               Send application to

                               Skyfire Productions 83 Greenfield Rd Leyden Ma 01301