Mid-Minnesota
150
February 13, 2010
Entry Form
Mail with your check payable to Mid MN 150:
Al Larson
3408 Beauty Lake Rd.
Pillager, Minn. 56473
Please Use Separate Sheet for more than one driver. |
| Team Owner | Team Driver |
Jr. Age |
|
| Address | Address | ||
| City/State/Zip | City/State/Zip | ||
| Phone | Phone | ||
Agreement: I agree to be responsible for my conduct, the conduct of my dogs and handlers and to abide by any decisions made by race officials. I shall not hold the sponsors, land owners, race officials, volunteer help, snowmobile clubs, The municipal cities or the Mid-Minnesota 150 Race Committee liable for any injury to myself, my dogs, my equipment or my handlers. I am personally responsible for any injury to myself or my dogs, or damages to my equipment. I agree to allow my team of dogs to be drug-tested. Should any of my dogs die at the race, I will release them to the race committee. My signature authorizes race officials to test this team for drugs. Owner's Signature ______________________________________ Driver's Signature ______________________________________ Entry Fee (U.S. FUNDS) Enclosed $______________________ Please make checks payable to Mid MN 150 and mail to: Al Larson 3408 Beauty Lake Rd Pillager, MN 56473 |
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