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$10.00 Entry Fee-Per Contestant Paid Before You Compete
Contestant Meeting 12:30 p.m.
Show Time 1:00 - 5:00 p.m.
All Events Are Open To Both Men and Women
Must be 18 or older.
Contestant's Name - Please Print _____________________________________________

Please Check The Events You Wish to Enter:
____ Ax Throw
____ Choker Setting
____ Stock Saw Chain Race (105 drivers .063 Per Wayne)
____ Modified 6 Cubes or Less. No pipes, 32" Bar Maximum
____ Obstacle Pole Over Water
____ Birling (log roll)
____ Double Bucking --- Partners Name ______________________________

____ Jack-N-Jill -------- Partners Name ______________________________

____ Jill-N-Jill ---------- Partners Name ______________________________
____ High Climbing 75 ft. Race, Up Only    (partners signature)

Double Bucking Partners Do Not Need To Pay A Second Entry, But Must Sign At The Bottom Of This Form.

I Do Hereby Release The Amboy Territorial Day Association And It's Volunteers From Participation Liability For Injury Or Damage To Me Or My Equipment That May Result From Participation In This Contest. I Also Agree to Accept All Decisions Of The Judges And Timers As Final.


SIGNATURE _______________________________________ DATE _________

Address ___________________________________________________________