Driver Name & Information (required)
Street / Mailing Address
--- Alberta British Columbia Manitoba New Brunswick Newfoundland & Labrador Northwest Territories Nova Soctia Nunavut Ontario Prince Edward Island Quebec Saskatchewan Yukon Province
Vehicle and Crew Details
What will you be driving?
Open Class (105" wheelbase or longer) Small Car Class Truck Class Powder Puff Class
Pit Crew Member #1
Pit Crew Member #2
Pay Pal Cheque
If you selected paypal, an invoice will be sent to you in the next 3 business days.
Cheques can be made out to "Hanover Ag Society", and mailed along with a copy of your confirmation email to
Hanover Ag Society, Attn Motorsports, Box 441 Grunthal MB R0A 0R0
Rules and Conditions
Demolition Derby Rules
I have read the entry form and official rules and understand that I will enter the Event at my own risk and will abide by all of the rules and regulations. I will accept the decision of the Judges as final. I agree to use the track in its present condition and for the purpose outlined for the Event only. I am fully aware that this event is a “Zero – Tolerance” Event regarding the consumption of or possession of alcohol or illegal drugs. I understand that if I consume alcohol throughout the duration of the Event or have any alcohol or illegal drugs in my possession or on my property during the Event, I will remove myself from the Event or expect to be removed from the Event. Any violation of the rules will result in forfeiture of prizes and entry fees.
I agree to these terms and conditions ______ (initial)
I (we) understand that any motorsport activity can be dangerous and has risks for loss or damage of equipment, and injury or death for the rider. By checking this box I (we) agree to the terms and conditions to indemnify and save harmless the RM of Hanover, LUD of Grunthal, The Hanover Ag Society, its committee, employees, volunteers, and agents from any and all claims for loss or injury to person or property howsoever caused arising out of the contestant’s participation in the Hanover Ag Fair.
I agree to the limit of liability ______ (initial)
Questions or Comments
To be Completed at the Event
Drive Signature: _____________________________
Crew Member #1 Signature: _____________________________
Crew Member #2 Signature: _____________________________
Total Entry Fee: $_____________
A copy will be sent to your email. Please print off and bring the day of the event