Cruising for "The Kids" July 28th, 2007, Anchorage to Soldotna
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Raising money for Alaskans and the Ronald McDonald House
Registration
To register, complete the form and mail today.
(PLEASE PRINT)First Name: _____________________ MI:____ Last Name:______________________
Address: ______________________________________________________________
City: _________________________________ State: ____________ Zip:____________
Phone: Day: (_____) ________________ Evening: (_____) _____________________
E-Mail: ______________________________ Registration Fee: $25.00
(Check/Money Order)(SO WE CAN SEND YOU INFORMATION ONLINE)
T-Shirt: Yes_____ S M L XL XXL No______
(for counting purposes only, the shirt will be sold on the day of the event)
Date of Birth (mm/dd/year) __________________________Age: ____________
Sex: Male: Female:
Car: ________________________ Model: ___________________
Year: __________Waiver: In participating in the Cruise for "The Kids", Anchorage to Soldotna, I for myself, executors, administrator and assigns, do hereby release and discharge the Anchorage Corvette Association and all sponsoring business and organizations and their agents from all claims, and damages, demands, actions, and a cause of actions whatsoever, in any manner arising and growing out of participating in this event.
I also hereby consent to and permit emergency treatment in the event of any
injury or illness. I grant full permission to organizers to use photographs of
me and quotations from me in legitimate accounts and promotions of this event.
Signature (Parent or Guardian if less than 18 years of age)