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Maine Amateur Driving Club Application |
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To participate in all club events, a person must hold a fair category or higher driver's license issued by the United States Trotting Association, is a current member of the MADC, and is in good standing at the locally affiliated racetrack. The MADC will decide all questions regarding a person's status as a club driver. In addition, each applicant must comply with all rules of The Maine Harness Racing Commission.
Name__________________________________________DOB__/__/____
Address____________________________________________
____________________________________________
City _______________________________________________
State _______________________________Zip _____________
Phone _______________________ Cell _____________________
E mail_____________________________________________________
Occupation _______________________________________________
List of horses owned ________________________________________
________________________________________________________
Type of license: A P F
Signature_______________________________________Date___________ A ten dollar check must accompany this form made out to Buddy Burke. Send form and check to: Buddy Burke 146 East Main Street South Paris, Maine 04281
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