Dragon entry form click to download for printing

Dragon’s Tail Road Rally Proxy Race

Entry Form

Please print and include with car(s) submission

Name of racing team ________________________________________

Name of car #1   ______________________________ Racing number __________

Make/model/year   ____________________________________________________

Fictitious driver’s name ________________________________________________

anything else about the car we should know? _______________________________

____________________________________________________________________

____________________________________________________________________

 

Name of car #2   ______________________________ Racing number __________

Make/model/year   ____________________________________________________

Racing number ___________________________

Fictitious driver’s name ________________________________________________

anything else about the car we should know? _______________________________

____________________________________________________________________

____________________________________________________________________

Contact info

Name ______________________________________________________________

Address ____________________________________________________________

Phone ______________________________________________________________

Email ______________________________________________________________

mail to:  Scott Scarboro       2020 East Oak St.      New Albany, IN     47150