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Registration
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PRINT THIS FORM, COMPLETE and MAIL with your Check or Money Order 46th Annual Frog Follies Pre-Entry Form Make checks payable and mail to:
E'ville Iron
Name:
Phone:
Email:
Address:
City:
State:
Zip:
Club Affiliation:
Car Year:
(Pre-49 only) Make of Car:
Body Style:
Color:
Shirt Size: S M L XL XXL XXXL
Number Attending: Adults
Children
Check here if new address AND write on back.
Yes, I've been registered at the Follies Before
E'VILLE IRON RESERVES THE RIGHT TO REJECT ANY ENTRY. NO ENTRIES ACCEPTED WITHOUT CAR INFO - PRE-49 ONLY! Liability: Entrants and participants, by execution of this entry form, release and discharge the State of Indiana, City of Evansville, County of Vanderburgh, E'ville Iron Street Rods, Ltd., and the Vanderburgh County 4-H Center, their officers, directors, employees, agents, representatives, servants, and anyone else connected with the presentation of the E'ville Iron Frog Follies from any and all known or unknown damages, injuries, losses, judgments and/or claims from any causes whatsoever that may be suffered by any entrant or participant to his person or property.
Signature
Parent or Guardian if under 18 years of age
Sponsored by E'ville Iron • P.O. Box 3011 • Evansville, IN 47730 |
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Copyright © 2017 E'ville Iron Street Rods Ltd Inc. |
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