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Wrecked Queens Participant Application

Full Name

Email

Phone Number

City & State

Do you currently drive or participate in demolition derby?

A
B

Why Do You Want to Participate with Wrecked Queens and drive in a derby?

Are you going through a major life transition or challenge you are navigating or overcoming?

Upload a recent photo/headshot

1. Information Accuracy & Consent
Acknowledgment:
By submitting this application, I certify that all information provided is true and complete to the best of my knowledge. I understand that submitting an application does not guarantee selection or participation in Wrecked Queens programs or events.
2. Media & Appearance Consent Notice:
I understand that Wrecked Queens and the Wrecked Queens Foundation document participant builds, events, and workshops for educational, promotional, and media purposes. By submitting my application and social media handles, I consent to being contacted regarding potential media coverage and program participation.
3. Voluntary Application Notice:
I acknowledge that this application is submitted voluntarily and does not create an employment, contractual, or agency relationship between myself and Wrecked Queens or the Wrecked Queens Foundation

I have read, understood, and agree to the application terms and disclaimers above.