To register for this fun-filled Rod Run, please mail your
registration fee and this completed registration form to:
Big Lake Cruisers
P.O. Box 816
Clewiston, FL 33440
Confirmation notices will be mailed after early registration ends
Registrations must be postmarked no later than April 6, 2013 to qualify
*Please do not send cash!
Name
Phone
Address
City
State
ZIP
Car Information:
Make
Model
Year
Club Affiliation:
Entrants and Participants: With your signature of this form,you release the Big Lake Cruisers, the Sugar FestivalCommittee, the City of Clewiston, their officers, and anyone connected to the Rod Run from any and all known/unknown damages, injuries, losses, claims, or judgments from any cause whatsoever that may be suffered by anyparticipant to his/her person or property.
No entry will be permitted without a signed registration form.
Rain or Shine—No refunds
Signature of Entrant___________________________________________________________________