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Application Form

Local Race

June 2, 2007.

Fee $30

In order to race in the Mid-Coast Maine Soap Box Derby you must live in either Knox, Waldo, Lincoln, or Sagadahoc County and be between the age of 8 and 17.

Sponsor(s):    If you need a sponsor check here.

If you raced in the 2006 Mid-Coast Soap Box Derby Race, and are racing in the same division this year please list the race number assigned to you. School:

Division: Stock Super Stock Masters
Adult T-Shirt/Sweatshirt Size: Small Medium Large XLarge
Racer Name:
Parent:
Address:
Town:
State/Province:    Zip Code:    Country:
Date of Birth: (mm/dd/yyyy)    Age:
Height:    Weight:
Telephone:  (include area code)
Email Address:


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