ENTRY AND ADVERTISING RELEASE: In consideration of the awards for events, the acceptance of this entry and the sanctioning of this event (s) by the Promoters, (meaning Twin Cities Speedway or NCDCA) the car owner and drivers, individually and jointly agree that the promoters and it’s assigns may use their names and pictures of the car described herein, or any of them, in any way medium, or material for promoting, advertising, recording or reporting this event or other events before during and after such event and do hereby relinquish all right hereto for these purposes. The promoters reserve the right to refuse entry to any party.
TWIN CITIES SPEEDWAY AND NOR-CAL DWARF CAR ASSOCIATION, INC.
Applicants Signature___________________________Date_____________
Drivers Name:___________________________________________________
Owners Name if different:________________________________________
Social Security Number: Driver or owner- Please specify:_______________________________
Phone:__________________________ Organization:____________ Pro____Veterans ____
Sportsman___(Sportsman Entry $100.00 for event pit pass)Late entry Sportsman: $125.00
Address:________________________City________________State__________ Zip______________
Car # (include association letter)___________________
Pre-entry Fee $175.00_________(includes drivers event pit pass and T-Shirt)
After 9-17-12 or non-member $200.00_________ Video $ 30.00_________
Kids Pit Pass: Event: $35.00
Please fill out the form above and return to:
NCDCA
3165 N. Holly drive
Tracy, Ca. 95376
209-832-8508/209-836-4722
www.dwarfworld.com or email mamadwarf@aol.comHost Hotel: Comfort Suites
530-742-9200 ask for Dwarf Nationals Group Rate
King OR 2 Queens $89.00 + tax
Make reservations by 9-15-11
Other Motels:
Amerihost 530-742-2700
Super 8- 530-742-8238
You will need signed minors release. Go to
www.marysvilleracewaypark.com for more info.