ENTRY FORM

MICHIGAN FIREMAN’S MEMORIAL EXTRICATION COMPETITION

(Please print or type)

Department Name:                                         Telephone:            

Address:                                             City:                     

State:                                        Zip Code:                        

Team Captain:                                           

Team Members:                                                                                           

Signature of Department Official

Proof of Liability Insurance must be submitted along with the entry fee of $100.00.  Please make checks payable to the “Michigan Fireman’s Memorial”.   In the event of team cancellations and/or no shows, entry fees will not be returned.   Registration deadline is August 31.

Mail completed entry form to: Mr. Don Drent, 6817 Kingdon Ave., Holt MI 48842.  Questions regarding the competition may be directed to Don Drent @ (517) 699-2692, cellular (313) 806-1098 or email don.drent@yahoo.com

There will be a briefing session for all participants at 11:00 am in the Competition Action Area.  This meeting is mandatory for all team captains, and all other team members are invited and encouraged to attend as well.  All start times for the participating teams will be drawn immediately following the briefing, with competition starting promptly at 12:00 noon.

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