11th Annual Cruising on the River Registration
Pre-Registration: $30.00 (ends
May 10, 2013) Day of Show Registration: $40.00
Name:___________________________________________________________________________________________
Address:_________________________________________________________________________________________
City:_________________________ State:__________________________Zip Code:____________________________
Year/Make of Vehicle:____________________________ Model:______________________ Insurance:____________
Club:_________________________________ E-mail:______________________
Entrants and participants
by the execution of this form, release and discharge the States of LA and MS,
the River City
Bad Boyz, Inc., the Comfort Suites Hotel, the City of Vidalia, LA, and the Vidalia Riverpark
from any and all known and unknown damages, injuries, losses, judgments and/or claims whatsoever that
may be suffered by any entrant or participant to his or her person or property.
Signature:__________________________________________________________________ Date:__________________
Please make checks payable to : RIVER CITY BAD BOYZ and mail to: P. O. Box 692, Vidalia, LA 71373
