Option 1
Derby Application
Name :______________________________________
Address : __________________________________
State & Zip: _________________________________
Phone #______________________
Please send a check to:
Todd Boothby or BBCH
16 Fair Winds Drive
Steep Falls, Me 04085
Please circle one:
Adult Fee $15.00
Kids Fee $ 5.00
Fish Pool $5.00
If ticket is mailed prior to derby event, you can pick up the entry button at any time during the day.
Liability :
Each person is responsible for their own items. Lost, misplaced, or stolen items are not the events responsibility. In the event of an injury or an accident occurs the event coordinators will not be held responsible in any way. Ice conditions may be thin in areas, travel lightly and always make safety your first priority. We do not recommend driving your vehicle on the ice. Entering this event means that you comply to these terms
