2010 UMS REGISTRATION FORM 

Mail to Unique Motor Sports, PO Box 230, Pierson, MI 49339, TX 616-636-8180, website www.Unique-Motor-Sports.com

Please circle which type of event you are entering

Demo Derby    Bump & Run i.e. Off Road Derby       Figure 8     Truck Derby  Mud Bog       Garden Tractor Derby        Burnout Competition Specify_____________             Other _________________       

Numbers on first come basis    car # _________

Location and Date ______________________________

Name _______________________________

Address _______________________________ Zip ____________

Phone # ______________________ 

Signature and Date ___________________________________

Regular show pre-entry fee $25.00 and $40.00 day of show, send cash or money order to Unique Motor Sports;  NO PERSONAL CHECKS.  Pre-paid entries limited to first 56 entries.  I have read the Unique Motor Sports Rules and agree to follow them.  I accept the decision of the judges as final.  I elect to use the grounds and track as presented.  I agree to have my car at the track location and signed in at least one hour prior to show time or I will be ineligible to run.  I agree that my tow vehicle is safe and meets all DOT specifications.