12th Annual
Cruisin' the Colors of the Harvest
Car, Truck, Cycle and Antique Tractor Show
Pre-Registration Form
Pre-register by Sept. 2 and your name will be entered in a special prize drawing
There is no entry fee
Goodie Bag and Dash Plaque to first 150 registrants.
Please bring a non-perishable food item for the food bank.
State
Zip
Have you participated in previous years?
Vehicle Information
Year
Make
Model
Name
Street / PO Box
City
E-mail
Phone
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HOLD HARMLESS AGREEMENT
Harvest Community Church and any co-sponsor of this activity is not responsible for any injury which may be suffered by the participant while traveling to, during, or returning from this activity. Participant, or his/her guardian if actual participant is under 18, shall be solely and exclusively responsible for any property damage, personal or private, which the individual may cause during the course of an activity such as designated in this notice. Additionally, the participant, or parent or guardian if actual participant is under 18, acknowledges that Harvest Community Church reserves the right to photograph facilities, activities and program participants for potential future use for publicity or promotional purposes only. “By agreeing below, I acknowledge that I have read and understand this notice and, if I am agreeing on behalf of a participant under the age of 18, I attest that I am that participant’s legal guardian.”
Name
Date
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( Required)
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