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REGISTRATION
PLEASE DETACH AND SEND TO:
Lovettsville Business Association, P.O. Box 6, Lovettsville, VA 20180
Please make check payable to Lovettsville Business Association
Please print
NAME __________________________________________________________________________________
ADDRESS_______________________________________________________________________________
CITY_______________________________________________ STATE/ZIP__________________________
PHONE _________________________________ EMAIL ________________________________________
VEHICLE/YEAR/MAKE/MODEL__________________________________________________________
AMOUNT ENCLOSED ____________________
In acceptance of the right to participate, I hereby release the Lovettsville Business Association and Lovettsville Volunteer Fire and Rescue and all others connected with management or presentation of this event from any and all known liabilities that may be suffered by any entrant or spectator to his or her person or property. Management will do all in its power to cooperate with participants to ensure a successful event. We kindly ask that you do the same. Please observe all safety and traffic restrictions. Thank you.
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