Thank you for wanting to become a member of Colorado Dwarf Cars!  Please print this application form, fill it out, and mail it to Fred Schneider, PO Box 755, Palmer Lake, CO 80133. 

The membership for each car is $15.  This will allow the car owner one vote and to drive the car.  For each additional driver, there is a $10 fee per driver.   A person who is a non-owner and non-driver can join the club as an associate member for $10.  Only the car owner can vote in club decisions.

Your application form will be reviewed and you will be contacted within 2 days in regards to acceptance.

Please print clearly and check that all apply.

 ___ Membership $15     ___ Additional Driver $10   ___ Associate Membership $10

Owner First Name ___________  Owner Last Name ________________
Owner SSN _____________ Owner Mailing Address ______________________________________
Driver First Name ____________ Driver Last Name  ________________
2nd Driver First Name ___________ 2nd Driver Last Name _____________
Associate First Name ___________  Associate Second Name _____________

Requested Car Number  ____  2nd Choice  ____  Cartoon Character ______________

Car Year ______  Car Make  ______  Sedan, Coupe, or Truck?  __________

Engine Year ______  Engine Make _______ Engine Model ________  CC _______

Racing is a fun and exciting sport.  Racing can also be dangerous which can cause injury and even death.  Your signature below confirms that you recognize these dangers and in no way will hold Colorado Dwarf Cars leadership nor the Colorado Dwarf Car members liable for your outcome.  Your signature below also confirms that you have read the rules and that you will abide by them.  Most of all your signature below states your commitment to promote Colorado Dwarf Cars.

Signature __________________________     Date ____________
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Colorado Dwarf Cars Administrative Section
Date Received  __________    Accepted or Denied ___________
Approved Number _______  Approved Cartoon Character  ___________
Leadership Signature  ____________________   Date ________