Pre-Registration Form

This form will pre-register you for the events you have selected
and will allow us to keep you updated on this and upcoming events.

(After May 15th you must register at the event)

Name:

Address1:

Address2:

Phone:

Email:

Club Affiliation:

Vehicle Year:

             Make:

             Model:

             Tag No.:

Mark Your Choice(s) Here:

/ $15.00 each on or before May 15th, 2010

/ $20.00 each after May 15th, 2010 (registration at the event)

Cruise:

Car Show:

Liability in consideration of the acceptance of the right to participate, entrants, participants and spectators by execution of the entry form release and discharge the El Reno Cruisers, Inc., Fraternal Order of Police Lodge #151, City of El Reno, County of Canadian, State of Oklahoma, their officers, directors, employees, agents, representatives and servants, and anyone else connected with management or presentation, the injuries, loss, judgements and or claims from any cause whatsoever may be suffered by entrant to this person or property. Further each entrant expressly agrees to indemnify all of the foregoing entities for persons and bodies of all liability, occasioned or resulting from conduct of entrant, of any participants assisting or cooperating with entrant under the direction or control of the entrant

Name:
Address1:
Address2:
Phone:
Email:
Club Affiliation:
Vehicle Year:
Make:
Model:
Tag No.: