MOPARS IN THE MOUNTAINS
584 3A Street NW
250-426-8811
www.moparsinthemountains.com
2nd Annual Show & Shine
J U L Y 1 9, 2 0 0 8
Name: _____________________________________________________________________
Address:______________________City________________Province/State_______________
Phone: ( ) _____________________
E-Mail:_____________________________________
Year: ___________ Make: ______________Model: _______________Colour_____________
$20.00 registration fee
As a participant in the Annual Mopars In The Mountains Car Show and Shine and any activities held in conjunction
with this event: I hereby release the City of
this event, from any and all claims, actions or damages, without limitation whatsoever which may result from
participation in the activities related to Mopars In The Mountains.
Dated at ______________This _____day of ____________2008
__________________________
Signature of Participant