Registration Form for Corvettes of the Ozarks April 10, 2010 Show
| Registration Form 2010 COTO Show |
OR form follows: copy & paste.
By March 28th: $20.00
After March 28th and Day of Show: $25.00
Display Only: $10.00
-----------------------------------------------------------------------------------------------
REGISTRATION FORM:
MAIL TO: CORVETTES OF THE OZARKS, PO Box 191, Mtn. Home, AR 72653
EMAIL: www.corvetteoftheozarks.com
NAME _____________________________________ PHONE _____________________
STREET _____________________________ CITY __________________ STATE ______
VEHICLE YEAR _________
CLUB ____________________________________________
Waiver: I hereby release and discharge CORVETTES OF THE OZARKS, Kent Chevrolet, the City of Mountain Home, the State of Arkansas, any organizers, sponsors, participants, land owners and anyone connected with the presentation of the show of any and all known or unknown damages, injuries, losses, judgment, and/or claims from any cause whatsoever that may be suffered by an entrant to his/her person or property of guest.
Signature of Applicant: ________________________________ Date ____________
After March 28th and Day of Show: $25.00
Display Only: $10.00
-----------------------------------------------------------------------------------------------
REGISTRATION FORM:
MAIL TO: CORVETTES OF THE OZARKS, PO Box 191, Mtn. Home, AR 72653
EMAIL: www.corvetteoftheozarks.com
NAME _____________________________________ PHONE _____________________
STREET _____________________________ CITY __________________ STATE ______
VEHICLE YEAR _________
CLUB ____________________________________________
Waiver: I hereby release and discharge CORVETTES OF THE OZARKS, Kent Chevrolet, the City of Mountain Home, the State of Arkansas, any organizers, sponsors, participants, land owners and anyone connected with the presentation of the show of any and all known or unknown damages, injuries, losses, judgment, and/or claims from any cause whatsoever that may be suffered by an entrant to his/her person or property of guest.
Signature of Applicant: ________________________________ Date ____________