All mail in registrations must be received on or before 6:00pm Friday, October 17th, 2008.

NAME
______________________________________________________________________
ADDRESS
______________________________________________________________________
CITY
______________________________________________________________________
STATE
______________________________________________________________________
ZIP/CODE
______________________________________________________________________
DATE OF BIRTH
______________________________________________________________________
PHONE NUMBER
______________________________________________________________________
PLAYER REWARDS CLUB #
______________________________________________________________________
E-MAIL ADDRESS:
______________________________________________________________________
NUMBER OF ENTRIES
One | Two
______________________________________________________________________

NHC Tour Member      NO | YES      Pin Number ______________

Would you like to reserve a Tiny Tim in the racebook? Circle one.
NO  |  YES


I HAVE READ, UNDERSTAND AND AGREE to abide by all Handicapping Tournament rules and regulations. In the event of a dispute, the Handicapping Tournament Judge will render a decision. The decision of the Judge is final. The Judge has the right to disqualify any tournament entrant who has violated any of the rules and regulations and the entrant will forfeit their registration fee.

In consideration of my participation in the tournament, I do hereby irrevocably authorize Delaware Park or their licensees to print, publish, televise or otherwise distribute and use my name, wagering information, photographs or likeness. I declare that I am over 21 years of age and I am not an employee of Delaware Park company, the NTRA, the Daily Racing Form, their immediate families, or any affiliated companies.

SIGNATURE
__________________________________________________
DATE
__________________________________________________