| Pre-Registration is $15.00 if postmarked by Aug 15, 2012 The first 200 registered vehicles receive a free dash plaque! Please complete, print and mail this form with your payment to: Back to the Beach 716 Sharpsburg Drive Davidsonville,Md. 21035 Click Here to Contact Us for Additional Information |
| In consideration of the acceptance of the right to participate, entrants and participants, by execution of this entry form, hereby release and discharge any cause of action against "Back to the Beach Car Show" and its members and any other entity connected with the management and/or presentation of this show for any and all known or unknown damages, injuries, losses and/or other claims whatsoever. |
Signature of Participant Date
Mild To Wild
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