Mail to:  

Jack Fullerton

286 GLADE CITY ROAD           

MEYERSDALE, PA15552

Mail Entry By: August 10th                        

Telephone:  

814-442-5161

SOMERSET CO. FIG "8"

Name:

Address:

City: State: Zip:

Age   Date of Birth

I have read the rules and accept the decision of the Judges as final. I elect to use the grounds or track in it's present condition.

Date_____________ Signature______________________________________

 Designed by Dylan Murray

For more information about entry and rules please contact

 Fullerton Promotions at (814) 442-5161.