SMART Derby Registration
Please complete the form below, you will not be allowed to participate without registering. Registration closes September 4, 2026 11:59pm MST
SMART Sheet Metal Workers Local #9
1515 W 47th Ave
Denver CO, 80211
Full Name
*
First Name
Last Name
Location
*
Denver/CO Springs/Grand Junction
Are you a member in good standing?
*
**Yes/No (you will be verified when you pay)
E-mail
*
Phone
*
Address
*
Street Address
Street Address Line 2
City
State / Province
Postal / Zip Code
Shirt Size
*
Please Select
Small
Medium
Large
X-Large
XX-Large
XXX-Large
XXXX-Large
Entry Fee Payment
Please indicate how you will be paying. Payments can be made in person after registration is received.
Number of Cars you would like to register
1
2
$10.00 - registration fee (1st kit)
Check
Cash
Money Order
$40.00 - Each additional kit
Check
Cash
Money Order
Wheel & Axel Kit
Staff will record and sign off here
Metal Kit
Staff will record and sign off here
Shirt/ shirts
Staff will record and sign off here
Apply
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