Registration Form

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July 05, 2008

Wasaga Beach Cruisers

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	Pre-Registration Form for Fun Run 2008


	Register On-Line for the Wasaga Beach Fun Run using this convenient form: Entry Fee is $10.00 Make cheque payable to Wasaga Beach Cruisers Mail your cheque to: The Wasaga Beach Cruisers, 75 Donald Crescent, Wasaga Beach, ON L9Z 1E2

Your Name:
Email Address:
Home Telephone:
Business Telephone:
Street Address:
City:
State/Province:
Country:
Year of car:
Car Make:
Car Model:
Club affiliation:
Did you attend last year:	YesNo
Comments:
Terms READ BEFORE SUBMITTING! I hereby release the WASAGA BEACH CRUISERS and all parties, sponsors and/or sanctioning groups from any injury or damage to myself, my property, or a member of my family. Submitting this form signifies your agreement to the above terms. It will be stamped with the date and time of your submission along with your IP address.
	Agree to terms

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