Entry Form

Amount Paid_______    Check or Cash (Circle One)     Initials________

SNEAKY PETE’S GARDEN TRACTOR PULLERS/ENTRY FORM
$10.00 OFF LAWN & DIESEL/$15.00 STOCK, OPEN & MINI ROD
(Use One Form Per Tractor Per Driver Per Class)

DRIVERS NAME___________________________________AGE_________

SPONSORED BY/IF APPLICABLE_____________________________________________

OWNERS NAME______________________________________AGE_________

OWNERS ADDRESS______________
_________PHONE_________________

CITY/STATE/ZIP________________________________________

TRACTOR ID#________MAKE/MODEL/NAME________________HP_______

CLASSES:  (Circle one weight class only – Only one entry per sheet)
         OFF LAWN:      750 LB/10 HP          900 LB/14 HP           1100 LB/20 HP
          STOCK ALTERED:      950 LB/14 HP           1050 LB/16 HP
          PRO/SUPER STOCK: __ 1050 LB                  SPORT STOCK:    1050 LB
    OPEN/UNLIMITED:     1100 LB          1200 LB           1400 LB       
          MINI RODS:          1750 LB/ECONOMY     
         1900 LB/8 CYL

RELEASE AND INDEMNIFICATION :     FOOTAGE________________
WHEREAS,
Sneaky Pete’s Garden Tractor Pullers is operating a
garden tractor pull/contest, and

WHEREAS,
the participant on behalf of himself/herself, his/her minor
child or children, his/her heirs and assignees,
desire to use
the facilities and/or equipment and other property of the
operators of this contest, and

WHEREAS, 
the participant understands that there are risks of
injury to person or property in using said property. 

NOW, THEREFORE,
that in consideration for the use of the facilities and
property of the operators and/or sponsors, in addition to the
fee paid for such use, the participant agrees as follows:
     1. That participant voluntarily/knowingly assumes all accident risks
          arising out of his/her use of the facilities, property, and/or
equipment owned/furnished by the operators and/or sponsors.

     2. That participant hereby releases and discharges operators and/or
          sponsors from any claim, liability or demand of any kind due
          caused by the negligence of operators or otherwise.
     3. That participant will indemnify and release operators and/or
sponsors harmless from any claim, liability, or demand of any
kind from any accident, injury, damage or mechanical breakage
affecting participant or his equipment.

DRIVER SIGNATURE____________________________DATE_____________
        Must have parent/guardian signature if driver is under 18 yrs of age.
        DO YOU CARRY MEDICAL INSURANCE?    (Circle One)   Yes   or   No
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FOR OFFICE USE ONLY: POSITION_________PLACEMENT________