 |  | Box 4265
Quesnel, B.C.
V2J 3J3 | | | | PROSPECTORS 23rd ANNIVERSARY
SHOW AND SHINE WEEKEND AUGUST 24, 25, 26, 2018 | | Name:_________________________________Phone:_______________________________________________________________________________ |
| Address:___________________________________________________________________________________________________________________ | | Vehicle Year/Make/Model:_____________________________________________________________________________________________________ | | Club Affiliation (if applicable):_________________________________________________________________________________________________ | REGISTRATION; Friday August 24th from 5-7 at The Lodge, with Mr.Mike's. | Aug.25TH, Saturday registration 10-11 at Maple Park Mall # of adults:___________
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Saturday evening dinner/dance DinnerTickets) @30.00each:____________ $______________
| At The Lodge 6 pm cocktails, dinner at 7 pm (no minors)
| Rod Run Leaves mall at 12 noon
| Show and Shine (Sunday Aug. 26, 2018) $10.00 per car. At # of cars______ $_______________
| Lebourdais Park 10-3 pm gates open at 7:30 am.,
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Please make cheques payable to:
Prospectors Car Club, P.O. Box 4265, Quesnel, B.C. Total money included
or email funds to prospectorsmembership@hotmail.com form: $______________
WAIVER; Applicant hereby assumes any and all responsibilities for injury or damage caused by him/herself, or of any member of his/her party, while participating in the Gold Pan Steak-Out, and does release from liability for any injury or damage the Quesnel Prospectors Car Club & it's members. Signature:________________________Date;_____________
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PARTICIPANTS UNDER THE AGE OF 19 YEARS must have the following waiver signed by either a parent or legal guardian. As the below participants(s) is/are under the legal age. I will be responsible for any injury and damage caused by him/her or any member of his/her party while participation in the Prospectors Car Club Steak-Out and to release from liability for any injury or damage the Quesnel Prospectors Car Club & its members.UNDERAGE PARTICIPANT:___________________________PARENT OR LEGAL GUARDIAN;_________________
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| For more information contact Car Club President: Neil Muir 250 991-8143 or 250 747-1188. |
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