3 CAR TEAM DEMOLITION DERBY
TEAM ENTRY FORM – 3 DRIVERS PER TEAM
EACH DRIVER MUST FILL OUT A FORM
1. You are allowed one old iron car per team (Old iron can NOT be a leaf
spring wagon)
2. Team member cars must be all painted the same color.
3. The 2013 Demolition Derby rules apply.
4. $75.00 entry fee per car; $225.00 per team
5. 2 Teams pay out - $1,000.00
3 Teams pay out - $1,200.00
4 Teams pay out - $1,500.00
PLEASE PRINT – COMPLETE FORM AND MAIL OR RETURN PROMPTLY – Pit opens 4 hours prior to show time
 ALL CARS MUST BE ON GROUND WITH HOOD OPEN FOR INSPECTION 
Entries limited to the SPECIFIED NUMBER OF CARS. MARK BOX TO INDICATE WHICH SHOW(S) YOU ARE ENTERING. EXAMPLE 
Mail or return to: U.S.A. Demolition Derby, Inc., 6440 Denton, Belleville MI 48111-1015 (734) 483-0574
Team color: ___________
CHARLOTTE * JULY 8
FOWLERVILLE * JULY 22
Show Date: Monday, July 8, First Heat 7:30 p.m.
Location: Eaton County Fair, Charlotte, MI
Entries Limited to the first 4 Teams
Show Date: Mon., July 22, First Heat 8:00 p.m.
Location: Fowlerville Family Fair, Fowlerville, MI
Entries Limited to the first 4 Teams
Name
City
Car Number: __________
Address
State
Zip
Phone No. (
)
$75.00 entry fee to accompany form (no checks). Only cash or money orders to U.S.A. Demolition Derby accepted. I have read the U.S.A. Demolition Derby rules and regulations
and agree to follow same and to accept the decision of the judges as final, and elect to use the grounds and track as presented. I agree to have my car at the race area and
signed in at least 30 minutes prior to show time or I will be ineligible to run. NO ENTRY FEE REFUND IF YOU ARRIVE LATE!
Signature
Date
Driver’s License Number
I AM A FIRST TIME U.S.A. DRIVER  YES  NO
Age
E-Mail
I HAVE CHANGED ADDRESSES:  YES  NO
PLEASE PRINT – COMPLETE FORM AND MAIL OR RETURN PROMPTLY – Pit opens 4 hours prior to show time
 ALL CARS MUST BE ON GROUND WITH HOOD OPEN FOR INSPECTION 
Entries limited to the SPECIFIED NUMBER OF CARS. MARK BOX TO INDICATE WHICH SHOW(S) YOU ARE ENTERING. EXAMPLE 
Mail or return to: U.S.A. Demolition Derby, Inc., 6440 Denton, Belleville MI 48111-1015 (734) 483-0574
FOWLERVILLE * JULY 22
Show Date: Monday, July 8, First Heat 7:30 p.m.
Location: Eaton County Fair, Charlotte, MI
Entries Limited to the first 4 Teams
Show Date: Mon., July 22, First Heat 8:00 p.m.
Location: Fowlerville Family Fair, Fowlerville, MI
Entries Limited to the first 4 Teams
Name
City
Team color: ___________
CHARLOTTE * JULY 8
Car Number: __________
Address
State
Zip
Phone No. (
)
$75.00 entry fee to accompany form (no checks). Only cash or money orders to U.S.A. Demolition Derby accepted. I have read the U.S.A. Demolition Derby rules and regulations
and agree to follow same and to accept the decision of the judges as final, and elect to use the grounds and track as presented. I agree to have my car at the race area and
signed in at least 30 minutes prior to show time or I will be ineligible to run. NO ENTRY FEE REFUND IF YOU ARRIVE LATE!
Signature
Date
Driver’s License Number
I AM A FIRST TIME U.S.A. DRIVER  YES  NO
Age
E-Mail
I HAVE CHANGED ADDRESSES:  YES  NO
PLEASE PRINT – COMPLETE FORM AND MAIL OR RETURN PROMPTLY – Pit opens 4 hours prior to show time
 ALL CARS MUST BE ON GROUND WITH HOOD OPEN FOR INSPECTION 
Entries limited to the SPECIFIED NUMBER OF CARS. MARK BOX TO INDICATE WHICH SHOW(S) YOU ARE ENTERING. EXAMPLE 
Mail or return to: U.S.A. Demolition Derby, Inc., 6440 Denton, Belleville MI 48111-1015 (734) 483-0574
FOWLERVILLE * JULY 22
Show Date: Monday, July 8, First Heat 7:30 p.m.
Location: Eaton County Fair, Charlotte, MI
Entries Limited to the first 4 Teams
Show Date: Mon., July 22, First Heat 8:00 p.m.
Location: Fowlerville Family Fair, Fowlerville, MI
Entries Limited to the first 4 Teams
Name
City
Team color: ___________
CHARLOTTE * JULY 8
Car Number: __________
Address
State
Zip
Phone No. (
)
$75.00 entry fee to accompany form (no checks). Only cash or money orders to U.S.A. Demolition Derby accepted. I have read the U.S.A. Demolition Derby rules and regulations and agree to
follow same and to accept the decision of the judges as final, and elect to use the grounds and track as presented. I agree to have my car at the race area and signed in at least 30 minutes prior
to show time or I will be ineligible to run. NO ENTRY FEE REFUND IF YOU ARRIVE LATE!
Signature
Date
Driver’s License Number
I AM A FIRST TIME U.S.A. DRIVER  YES  NO
Age
E-Mail
I HAVE CHANGED ADDRESSES:  YES  NO