DRIVING DERBY REGISTRATION FORM

Saturday, Oct 25th (rain or shine) - Fair Hill NRMA (Gallaher Rd area)

For questions or more info contact Helen Heinzer (Cell: 973-219-1365 or email: helen.heinzer@icloud.com)

To CONFIRM your registration status, CLICK HERE

DERBY REGISTRATION DEADLINE is Sunday 10/18*

(* $25 late fee penalty)

If you want to qualify for the 2025 Mid-Atlantic Driving Derby Series you must be registered for the Series before this Derby event occurs. CLICK HERE to register for the Series

Documents that must accompany registration:

Note: If you have already submitted these documents this year, you do not need to re-submit (however, remember that everyone in your group must sign the waivers).

• Copy of current negative Coggins test (within one year) and Flu/Rhino documentation (within 6 months) per ADS rule GR-6.3

• Signed BVDC Release - Everyone in your group must sign this (you can use one form for all signatures). CLICK HERE to download the form so you can print it.

• Signed FHI Release - Everyone in your group must sign this (you can use one form for all signatures). CLICK HERE to download the form so you can print it.

Upload the files via the online registration form on this page OR if you have already registered:

Go to our DOCUMENT UPLOADER

Payment

ONLINE REGISTRATION FORM

Entry Fees

For BVDC members: $90

For non-members: $90 + $25 (for BVDC membership which will be effective for 2026)

PAYMENT OPTIONS

You may pay online here using PayPal - see below.

Note: you do not need to have a PayPal login to pay by credit or debit card.

OR you may mail a check payable to “BVDC” to Debby Donovan, 47 Quaker Neck Rd, Salem, NJ 08079

Fill out the form below to get your total payment due

NOTE: IF YOU ARE PAYING ONLINE WITH CREDIT/DEBIT CARD - You may encounter a problem with PayPal. If you do, instead check the box for mailing a check then go to this link to pay online instead: CLICK HERE