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Sunday - Sept 17, 2017

Mike Linnig's - 9308 Cane Run Rd

Show Start at 11 am / Awards at 3 pm

Sponsored by Ford Kentucky Truck Plant & UAW Local 862 - Ford employees receive $5 off registration with employee ID or union card

Car / Motorcycle Pre-Registration Form

Retuned signed form with donation check / money order to:

Ford KTP Cares / PO Box 895 PeWee Valley, KY 40056

Name: __________________________________________

Street Address: ___________________________________

City / State / Zip: __________________________________

Phone : ____________ Email: _______________________

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.

Signature: _______________________________ Date: _________________________