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Fill this out and mail form and payment of $10.00 to PO Box 451205 • Grove, OK 74345

3rd Annual Indoor Car Show Registration Form Name: ________________________________________________________________________ Address: ______________________________________________________________________ Phone Number: ____________________________Email Address: ________________________ Club Affiliation __________________________________________________________________ Car Make/Model/Year: ____________________________________________________________ Entry Fee $10.00

Paid__________________

WAIVER:All attendees, and participants agree to be fully responsible for their vehicle and personal belongings, and to release the Humane Society of Grove and Grand Lake Inc and the City of Grove, it’s employees, event staff, and all others from any and all damages, personal injuries, and or claims from any causes that may be suffered in or during this event.

Signature

________________________________________________Date __________________________________


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