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D.O.G.S. (Nor-Cal Dogs)     
    Destruction Derby Entry Form
* Required Fields
 
Driver
Name*
Nick-name 
Address*
City*
State*
ZIP*
E-mail*
Organization
 
Name
Address 
City
State
ZIP
Derby
 
Years of Experience 
Number of Wins
Car Number? 1st Choice- 2nd Choice- 3rd Choice-
 
Car Info. Make*: Model*: Year*:
 
 
 
Miscellaneous
Any additional questions you may have for the Derby Chair:
 
So that we may better prepare please let us about the following. Will you...
 
 ...be camping at the Fairgrounds?
 ...be attending the barbeque?
 
...be purchasing T-shirts, and how many?
     Adult Sizes:      sm- med- lrg- x lrg- xx lrg
     Child Sizes:      sm- med- lrg-
 
 
 
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