Perris Auto Speedway

Roller Derby
April 16, 2011

Who:

Roller Derby

Purse:

Class	1st	Car Minimum
Roller Derby	Total Entry Goes To Winning Team	0

When:

April 16, 2011 - Pit Gates Open at 3pm - Front Gates 5pm

Rules:

Available at www.perrisautospeedway.com

Entries:

Class	Entry
Roller Derby	$50

All participants must pit in the pit area.

All crew members, drivers or pit spectators must have a pit pass!
Pit Passes $45

Checks can be sent to PAS at 18700 Lake Perris Dr Perris, CA 92571 Attn: Kim

FOR INFORMATION REGARDING THE RULES, RACE FORMAT AND PURSE MONEY PLEASE VISIT OUR WEBSITE AT WWW.PERRISAUTOSPEEDWAY.COM, OR CALL US AT 951-940-0134

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I hereby make the following entry for the "Roller Derby" at the Perris Auto Speedway on April 16, 2011 subject to the rules and regulations of Perris Auto Speedway and the Lake Perris Fairgrounds. Entry is subject to final approval from Perris Auto Speedway. Perris Auto Speedway reserves the right to refuse entry to anyone or car for the Night of Destruction. No refunds will be given on entry fees, even if your car is entered in more than one event and it breaks before the start, unless show for any reason is cancelled.

Name:___________________________________

Car#_______________________________

Make_____________________ Model_________________________ Year______________

Address:______________________________________________________________________

City____________________________ State_____________ Zip______________________

Phone:____________________________ Email_____________________________________

SS# for payout ______________________________________________________________

Sponsors:_____________________________________________________________________

______________________________________________________________

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