Tacoma Dome Demolition Derby - Registration Form
Please fill out, print and send

I am enclosing my non-refundable prepaid registration fee of $for the following event(s): $70ea, Check all that apply

Friday Night - BIG CARS (Arrival before 8PM) January 13, 2012 

Saturday Afternoon - TRUCKS (Arrival before 9AM, 8AM for pit party) January 14, 2012

Saturday Night -BIG CARS (Arrival before 4PM) January 14, 2012

Sunday Afternoon - SMALL CARS (Arrival before 9AM) January 15, 2012

Deadline for $70 entry fee (includes driver's pass, car entry, pitman pass and two stand passes) is January 3, 2012.
If you register after this date you may not get a shirt.


Please provide the following information so we may contact you if needed and supply the announcer with the information.

First Name:    Last Name:
Marital Status: Single Married      If married, spouses name
Children: Yes No    Ages(if applicable):
Address:




Phone number(s):
Email Address (if applicable):
Car Number 1st and 2nd choice:



T-shirt size: S M L XL XXL XXXL    (XXL and XXXL $5 more)

Additional T-shirt(s) size and quantity $15 each (XXL XXXL $20):


Please enter any comments or additional information
you may not have been able to enter above:



Make Checks Payable and Return Entry Form To:
CMS
4227 S Meridian
Suite C, #161
Puyallup, WA 98373