Registration Form for the Otter Lake Motor Vehicle Extravaganza                        $10.00 Entry Fee payable to Rhythm Rodders:                    C/O Gary Burns 5331 Hopkins Rd. Flint, Mi 48506
		Please read and acknowledge:                  By submission of your registration for the Otter Lake Motor Vehicle Extravaganza:                    All entrants and spectators release the Village Of Otter Lake, The OLCWC and the                  Rhythm Rodders Car Club, and any other persons connected with this show from all                  responsibility for loss. damage, injuries and any other clains what may occur prior to,                  suring the presentation of this show. and following the show.
	Name:_________________________________________________                        Signature:_______________________________________________            Address:________________________________________________            City:_____________________State__________Zip______________            Phone number:________________________            Vehicle Year:__________Model____________Make______________            Comments about Car:             ________________________________________________________             ________________________________________________________                   ________________________________________________________