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Entry Fee - $15.00
Name:
Mailing Address:
City:
State:
Zip:
Telephone:
Make of Car:
Model
Year:
Engine Size:
Desired Class:
Release & Waiver, Unsigned Releases will be Rejected
In consideration of the foregoing, I, myself, my heirs, executors and administrators, herby waive and release
Society Hill Catfish Festival, Event Sponsors, Town of Society Hill and any and all of its members, affiliates, officers and
all individuals utilizing the center in connection with the avovementioned display from any responsibility whatsoever for
any and all claims, damages, actions liability, and expense in connection with loss of life, personal injury, and/or damages
to property which may occur as a result of my participation in said Car & Truck Show, including, but not limited to any
injuries or damages which I or my property might incur during this event.
Signature:
Date:
Mail Entries to:
Jean Reynolds
Town of Society Hill
PO Box 29
Society Hill, SC 29593
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