Michigan Fiero Club Presents
Fieros in the Village
July 21, 2012 (9 AM - 3 PM)
Olde World Canterbury Village
2369 Joslyn Ct
Lake Orion, MI 48360
canterburyvillage.com
Registration 9AM – 11 AM, Award Presentation at 3PM
Dash Plaques - 50/50 – History – Door Prizes - Awards for MANY categories (work in progress, lowest mileage, traveled the farthest, most door dings, best paint job, most original, Peoples choice, etc.)
For more information: www.michiganfieroclub.com/show2012
Please Print
Name: ______Address: ______
City/State/Zip:______Phone: ______
E-mail: ______Year/Model: ______/ ______
Registration Fee: Pre-registration fee $10.00 First Car $10.00 = $______
Additional Car $5.00 Year/Model: ______/ ______ Second Car $5.00 = $ ______
Note: Personalized Window Cards for those Pre-Registered. (This helps us in planning too)
Embroidered Golf Shirt(s): Shirt Size: M ___ L ___ XL ___ XXL ___ # of shirts ____ Xs $20each = $______
Note: Golf shirts will be delivered the day of the event to those who pre-ordered, but no further orders will be taken.
Please make checks payable to: Michigan Fiero Club Pre-registration Total = $ ______
Fill out this form (please print) and mail to:
Michigan Fiero Club
P.O. Box 70324
Rochester Hills, MI 48307-0007
In order to have shirts made, Pre-registrations MUST be received by June 20, 2011.
Liability Release I agree to the following:
1. I agree to insure my vehicle and personal property against loss and liability, assuring the risk of all damages or injury to hold harmless all sponsors of the Michigan Fiero Club Car Show for anything which may result in theft, damage or destruction of the above named vehicle(s), my personal property or injury as a consequence of this event. I hereby release the Michigan Fiero Club and its officers and representatives from any and all claims. It is understood and agreed that no guarantee or assurance of security and/or protection of property has been made and such is the sole responsibility of me as the applicant.
2. It is my responsibility to keep my area clean of debris. That I shall not show any exhibition of driving while arriving, during or departing the show area – this includes burnouts, spinning of tires and anything else that may cause damage to the surface of the grounds or bodily injury or death to an individual or cause any danger to any individual in the show area. I understand that I will be held responsible for any and all repair needed due to the negligence of such above mentioned.
3. I also relinquish any and all rights to photographs taken in connection with this event.
4. Michigan Fiero Club and all officials connected with this event are not responsible for accidents, injuries, or losses.
5. I understand that there are no refunds for cancellations or no shows and I have read, understand and agree to the above.
Signature: ______Date: ______