BRUSHY CREEK MOTOR FARM

Entry Form

Home
ATV Trails
Anyone up for some MUDD!!
Photo Gallery
Photo Gallery 2
CONTACT US
For Sale
Links

ENTRY FEE:  $100.00 PER TEAM***

*** ALL ENTRIES (and fees) MUST BE RECEIVED NO LATER THAN MIDNIGHT, AUGUST 24TH***Print form & bring to Farm or mail to: Julie Floto, 10103 PR 2429, Terrell TX 75160*
 
FEE INCLUDES: 
  • 1 (ONE) RIDER*
  • 1 (ONE) PIT CREW MEMBER
  • ASSIGNED STARTING POSITION & PIT AREA BASED ON ORDER OF REGISTRATION.

*RIDER MUST RIDE ENTIRE RACE!

ENTRY FORM
 
 
_____________________________________
NAME (print) & SIGNATURE  (rider/pit person..pick one)
 
____________________________________
ADDRESS
 
____________________________________
PHONE NUMBER
 
____________________________________
DRIVER'S LICENSE NUMBER
 
____________________________________
E-MAIL ADDRESS
 
____________________________________
EMERGENCY CONTACT & PHONE NUMBER