RIPON POLICE & MENLO PARK POLICE
ENTRY FORM - EMERGENCY VEHICLE SHOW- 2008

Name

Address

City, State, Zip

Telephone / E-mail

Vehicle Information:

Year:

Make:

Model:

Agency your vehicle represents:

(Circle one)        Agency Owned                       Privately Owned

Show Class:

Would you like to receive information on other police vehicle events:  [  ]  Yes      [  ] No

Will you be joining us for the Friday night cruise?  [  ]  Yes      [  ] No

Please pre-register, as this will expedite your entry when you arrive. Agency owned vehicles are free of charge, however, a donation is requested. All privately owned vehicles have a pre-registration fee of $25.00. Entry fee on show day is $30.00. Pre-registration deadline is September 15, 2008. It is never too late to attend so please come on show day if you can’t pre-register.
 
In consideration of accepting this entry, I, and any of my passengers, intending to be legally bound, do hereby for my heirs and my executors, administrators, and/or myself waive and release any and all rights and claims or damages I may accrue against the persons and organizations affiliated with this event, and release the City of Menlo Park and the City of Ripon, and any member of the show staff or volunteer, for any and all injuries and or property damage that may be suffered by me, my passengers, or my property, as a result of participating in this event, including driving to and from such event and participation in the parade. In addition, I acknowledge that California State Law requires that I carry proof of current vehicle insurance, and that the show organizers require adherence to this law for participants and participating vehicles. I acknowledge that I am over 18 years old and have read and understand all of the above.
 
Signature (required to participate) __________________________________Date _____________________


Your vehicle insurance carrier_______________________________________________________________
 
Please return completed entry forms with checks made out to: "Menlo Park Police & Ripon Police Emergency Vehicle Show"

Darryl Lindsay
P.O. Box 412
San Carlos, CA 94070
Entry forms may be faxed to:
Darryl Lindsay,  650-631-0333

 

 
 
Questions? Please call Darryl at 650.743.4486 or Email: inpursuitmppd@yahoo.com
 

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