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Box 4265
Quesnel, B.C.
V2J 3J3 |
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PROSPECTORS 24th ANNIVERSARY
SHOW AND SHINE WEEKEND AUGUST 23, 24, 25, 2019 |
| Name:_________________________________Phone:_______________________________________________________________________________ |
| Address:___________________________________________________________________________________________________________________ |
| Vehicle Year/Make/Model:_____________________________________________________________________________________________________ |
| Club Affiliation (if applicable):_________________________________________________________________________________________________ |
REGISTRATION; Friday August 23rd from 5-7 at The Lodge, with Mr.Mike's. |
Aug.24th, Saturday registration 10-11 at Maple Park Mall
# of adults:___________
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Saturday evening dinner/dance DinnerTickets) @30.00each:____________ $______________
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At The Lodge 6 pm cocktails, dinner at 7 pm (no minors)
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Rod Run Leaves mall at 12 noon
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Show and Shine (Sunday Aug. 25th 2019) $10.00 per car. At # of cars______ $_______________
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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 President Cory Delves 250 255-5025. |
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