TWISTED METAL MAYHEM DRIVER ENTRY FORM
Name________________________________Nickname ______________________
Address: _______________________________________Home Ph______________
City ___________________ST __________Zip__________Cell Ph_______________
Class_________ Event__Twisted Metal Mayhem__Car #______ Color___________(No Black cars)
Car year/make/model _________________________________________________
Sponsors ____________________________________________________________
Birthdate ____________________________T-Shirt Size_________
Email Address ________________________________________________
DRIVER AGREEMENT:
My signature below confirms that I have read all rules and regulations & agree to abide by such. I understand that by participating in this event that I also agree to comply with the requirements set forth for this show. In addition, I agree to exercising good sportsmanship at all times during the event. I fully understand that if I am unable to participate for any reason that my entry fee is forfeited. I understand there are no refunds. I understand I am not able to sell or give away my entry, or otherwise make driver changes without first contacting this promoter. I understand if I am disqualified for any reason, I will not receive any refunds (including pit passes). This includes not passing inspections, if I am unwilling or unable to make the required changes .I understand that if I place and receive prize money that my social security number will be requested and I agree to provide given the circumstances. My signature below confirms that I understand and agree to these terms set forth.
Drivers Signature_________________________________________________Date______
Driver Bio: ( Experience, Wins, Etc.)
________________________________________________________________
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Make Checks Payable To: Pat Wilson Enterprises LLC
MAIL TO: 208 RED OAK DRIVE
HARKER HEIGHTS, TX 76548
Entry Fees:
Full size, Compacts and Mini van $75.00
Pit Pass $25.00