Douglas County Humane Society CAR & MOTORCYCLE SHOW April 17, 2010 REGISTRATION / ENTRY FORM Vehicle Owner's Name: _____________________________________________. Phone Number: __________________________________________________. Mailing Address: ________________________________________________. City/State/Zip: _________________________________________________. Vehicle Type: ___________________________________________________. Color / Description: ______________________________________________. Year Make Model: _______________________________________________. Vehicle Entry donation $20.00 minimum: $ ____________________ Motorcycle Entry donation $15.00 minimum: $_________________ Thank You. Please make your check out to Douglas County Humane Society. Mail with this form to Charity Car Show, P.O. Box 5453, Douglasville, Ga. 30154 All donations and proceeds go directly to the Douglas County Humane Society. www.DouglasCountyHumaneSociety.org Clinton Nature Preserve has walking trails & an equipped playground area for the children. Parental supervision is advised. All pets must be on a leash. This wonderful nature & wildlife preserve needs your cooperation to help stay as clean as possible. There will be adequate trash containers, as well as lighted and heated clean restroom facilities. No alcohol is allowed and most of the Preserve is No Smoking. Signing this request for attending, displaying at, or leasing vendor space indicates my understanding that the Douglas County Humane Society and Douglas County accept No Liability for any injury to person(s) or damage to property or thefts incurred by anyone attending, displaying, leasing vendor space at this event. Signature: ______________________________ Date:_________________ Printed name: __________________________________________________ *If you cannot make the event and want to make a donation, please write 'Donation only' on the 'Vehicle Type' line and mail. For more information, see www.ShadetreeMechanic.com or call 770 489 7164