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Presque Isle
County Mud Bog Registration Form 2010
Name
___________________________________________________________
Address
____________________________________City _________________
Phone #
_______________________________Cell # _____________________
Vehicle Year Make &
Model _______________________________________
Nick Name or
Sponsors you want to mention __________________________
_________________________________________________________________
Do you give us
permission to take pictures and put them on face book? Yes or No
If under 18 must
have signed permission slip from Parent or Guardian. Yes___
Liability Wavier
must be signed & turned in with application. Yes_____
Classes
1A.) 33 & under
street stock______________________
1.) 33 to 36
DOT________________________________
2.) 37 to 40 DOT
_______________________________
3.) 40.5 to 44 DOT
_____________________________
4.) Modified
__________________________________
5.) Open
_____________________________________
Entry Fee $20.00
per class
Judging
Shallow Pit Time #1 ________________ S.P
Time #2 ______________________
Deep Pit Distance #1 ________________ Time
#1 _________________________
Deep Pit Distance #2 ________________ Time
#2 _______________________
Points for placing ____________________ 1st
= 15 pts 2nd = 10 pts 3rd = 5 pts
Points for entering ____________________
(2pts)
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