Mini Meet West 2005 - Registration

Mini Meet West 2005
July 29 - 31 , Mt. Diablo, California


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Registration

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Registrant Name

Entrant Enthusiast Vegetarian Meal

Registrant Name

Entrant Enthusiast Vegetarian Meal

I/We plan to participate in:

Concours Rallye Funkhana
Autocross RC Cars

Children/Ages

Address

City

State/Province

Zip/Postal Code

Phone

Club affiliation

Car #1

Make Model Year
Color Plate #

Car #2

Make Model Year
Color Plate #

Fee Schedule*	Quantity	Price*	Totals
Entrant - Includes participation in all meet activities and meals, including banquet at Blackhawk Museum, an event tote bag stuffed with goodies, dash plaque, and official program. Entrant includes one (1) car.		$95	$0
Enthusiast - Includes participation in all non-driving activities and meals and banquet.		$75	$0
Kids - (per child, 3 - 12, under 3 free) Includes all meals and kids events - please include names and ages of all children attending at the top of this form.		$35	$0
Event t-shirts - Please indicate quantity of each size: S M L XL		$20	$0
Children's t-shirts - Quantity of each size: S M L		$17	$0
Additional Cars - One is included with each paid entrant. Additional car registration is available, primarily for concours entry. Note: MMW reserves the right to limit the number of entries.		$10	$0
Additional Banquet Tickets - One is included with each paid entrant, enthusiast, or kid. Additional ticket includes admission to Blackhawk Museum.		$45	$0
Registrations received by June 15, 2005 will receive a free t-shirt.	TOTAL $		$0

* All prices are in US Dollars and include California Sales Tax

The fine print: The undersigned does hereby: 1) Release indemnity and hold harmless MOASF, NorCal MINIS, event sponsors, their respective staffs, officers, directors, employees, and volunteers, against any and all claims, for loss, injury, or damages to person or property rising out of said event. 2) Release all other participants from any and all liability arising out of said event. 3) Give permission to use any information, photographs, or video information obtained prior to and at event for publication, promotional, advertising, or video filming. This event is fully sanctioned and insured by NASA. Please drive carefully, and don't forget to change your oil. I agree

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