Number of Vehicle(s): ______________________________
Additional donation to Juvenile Diabetes Research _______
Total Payment Enclosed: ___________________________
The undersigned participant(s), owner(s) agree(s) to indemnify and hold harmless the sponsors, volunteers, Ford Motor Company and/or their representatives, agents invitees, guest and participants form any and all liabilities from loss, injury or damage of any kind incurred before, during or after the Annual JDRF Car & Motorcycle Show. Participant(s) understand NO personal alcoholic beverages may be brought onto or consumed on Mike Linnig's property because of state liquor licensing. Participant(s) and owner(s) acknowledge(s)that he/she/they have liability insurance as required by the state of Kentucky and meet the requirements of the vehicle codes.