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					                             EEK Fitness Charity Car Show!
                                       Sunday, October 28, 2012
                           10:00 a.m. – 1:00p.m. (Registration: 8:00 – 10:00am)
                                Hangar One Café, Hemet-Ryan Airport

                                              Registration Form
Year___________ Make________________ Model____________________

Color_______________ License Plate #____________________

Name______________________________________ Club Affiliation_______________________________

Address_______________________________________________________

City___________________________ State____________ Zip___________

Telephone____________________ Email_________________________________

My signature releases EEK Fitness, Hangar One Café, Hemet-Ryan Airport, volunteers, and others involved
with this event from any liabilities of damage that I may incur at or as a result of this event. Entrant must be 18
years of age or older, if under 18, parent/guardian must sign.

Signature____________________________________________Date________________


                                   EEK Fitness Charity Car Show!
                                     Sunday, October 28, 2012
                            10:00 a.m. – 1:00p.m. (Registration: 8:00-10:00am)
                                Hangar One Café, Hemet-Ryan Airport

                                              Registration Form
Year___________ Make________________ Model____________________

Color_______________ License Plate #____________________

Name______________________________________ Club Affiliation_______________________________

Address_______________________________________________________

City___________________________ State____________ Zip___________

Telephone____________________ Email_________________________________

My signature releases EEK Fitness, Hangar One Café, Hemet-Ryan Airport, volunteers, and others involved
with this event from any liabilities of damage that I may incur at or as a result of this event. Entrant must be 18
years of age or older, if under 18, parent/guardian must sign.

Signature____________________________________________Date________________

				
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