2012 April Fool's Rod Run Registration

LIABILITY: In consideration of the acceptance of the right to participate, entrants, participants, and spectators, by execution of this entry form, release and discharge South Georgia Street Rods, Inc., Twin Oaks Park, Brantley County, the State of Georgia and anyone else connected with the management or presentation of the April Fools Rod Run from any and all known and unknown damages, injuries, losses, judgments, and/or claims from any causes whatsoever that may be suffered by any entrant to his/her person or property. This form also gives South Georgia Street Rods, Inc. permission to use photo of entrant, and his/her vehicle, in any promotional material.

Name(s) (print) : ___________________________________________________________________ (This name only is eligible for Grand Prize or other prizes—photo ID and Registration card required at awards) Home Phone : _________________________ Cell (with you at show) : ________________________ Address : _______________________________________________________________________ City : _______________________________________ State : _______________ Zip : ___________ Make : ______________________ Model : ________________ Year : _______ Color : ___________ Club Affiliation : ___________________________________________________________________ Signature : __________________________________________________ Date : _______________ How many tickets for our FREE Friday Night Buffet? (free for up to 4 in your vehicle) Adults_____ Under 12 _____ Have you registered at our show in the last 3 years? _______

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OPEN RUN – All years. All Makes – TOP 40 Awards

REGISTRATION ENTRY FEE: Pre-Registration $25.00 ($35.00 if postmarked after March 15th)

CAMPING Available On Site- for information, contact: Twin Oaks Park 912-458-2365 or www.twinoakspark.com

SPECTATOR FEE: Pay at gate - Adults $5 each, 12 and under free.

VENDORS FEE: Call for prices (Spaces avaliable with power both Inside & Outside – tables provided inside) All vendors MUST pre-register with Cleve Harden (912.427.7560 - evenings) (912.294.0846 - otherwise)

MAIL CHECK & PRE-REGISTRATION form(s) to: South Georgia Street Rods, Inc. 1808 Lamar Ave. Waycross, GA 31503

* Only registered vehicles will be allowed inside the show area. * All trailered vehicles will unload in designated trailer parking area at the park. * No motorized scooters allowed except handicapped transport. * NO LOUD MUSIC!