#M____ #C_____

Sponsored by:

PowerSports of Joplin Cycle Connection

REGISTRATION FORM
Car and Motorcycle Show for Webb City Project Graduation 2013
Saturday Sept. 8th, at Webb City High School, North Parking Lot. 11:30a.m.Show begins (Pre-registrants park 1st) 3:30 p.m. WINNERS announced! Awards for 1st, 2nd * 3rd places of Peoples Choice
Complete the form below and mail to: Questions: Call 417-621-8906 (Melissa) OR Facebook: Wchs_ProjectGrad. $10.00 Minimum Donation (PRE-registration) fee OR $15.00 day of show Webb City High School Project Graduation P.O Box 661 Webb City, MO 64870

Registration forms may be dropped off at PowerSports of Joplin or Cycle Connection.

Name_________________________________________________________ Address_________________________________ City_________________ State____ Zip_________ Phone______________ Cell:______________ Email ________________________________________________________

Type of Vehicle: ____________________ Make of Vehicle: _____________________ Model Of Vehicle:______________
(Car or Motorcycle)

Registrations will be sorted by receipt date. Vehicles (cars and motorcycles) will be judged for the following categories. Peoples Choice 1st, 2nd, & 3rd ((Cars and Bikes)
Waiver and Release of Liability: I am aware of the hazards inherent with this event including those related to facilities, weather, equipment, vehicular traffic, actions of other people including and not limited to spectators, event officials and monitors, producers and sponsors of the event. In consideration of my application and for permitting me to participate in this event, I specifically release and agree to indemnify Webb City Schools, the City of Webb City, volunteers, and the supporting sponsors collectively and separately, from any and all liability from bodily injury, personal injury, property damage or property theft incurred by me or my guests while participating at the 2012 Webb City High School Project Graduation Car and Motorcycle Show. I understand that Webb City Schools reserves the right to revoke my registration should I engage in reckless, dangerous, and/or unsafe behavior. Further, I hereby grant full permission to the event organizers and/or agents authorized by them, to use any photographs, videotapes, recordings or any other record of this event for any legitimate reason. I agree to abide by the rules and regulations of the Webb City High School Project Graduation Car and Motorcycle Show. I have read, understood, and agree to this release.

______________________________________________
Signature

_______________
Date

Paid: _____