7th Annual Autumn Billy-Cart Bash Entry
Date: To be held on Sunday
the 18th of May 2003 between 12 p.m. and 4 p.m.
All carts should arrive by 11 a.m for scrutineering, weighing and drivers briefing.
Venue: Mostyn Street, Castlemaine. From the Burke and Wills Monument to Urquhart
Street
Name of Entrant:
Address:
Your Age as of 18th May, 2003…………… Contact Phone Number:
Category (please circle the appropriate category below)
Under 12 (11 yrs and under) Under 16 (12- 15 and under) Open (16 & over)
Cart Nickname
Are any other people using the same cart? yes/no
What are their names?
If yes please use a separate form and Indemnity for each person and staple all entries together
I have read the conditions of entry prior to completing
this form
I understand that Billy cart racing can be dangerous
I have completed, signed and attached an Indemnity form.
Entrant Signature
............................................................
Parent/Guardian Signature
..............................................
(only required if the entrant is under 18 -
otherwise leave blank)
Print, complete & sign the Entry Form/s and indemnity/s, attach together and return by post to Dave Petrusma, P.O. Box 3, Chewton, Victoria 3451 or in person to Billy Cart Entries, Castlemaine Police Station. Please call Dave Petrusma on 0417 135240 if you have any queries. Entries must be received by Friday 16th May, 2003. Only the adult/child push race can be entered on the day.