Drivers Name ________________________________________________________________Address____________________________________Phone Number____________________City/State/Zip________________________________________________________________Number of years attending the 4Runner Jamboree_______4Runner Year ______________ License # _________________Truck Web page URL_________________________________________________________Modifications: (tires, gears, lockers?) ____________________________________________ ___________________________________________________________________________Number of other persons in my party_________Name of other persons________________________________________________________Order your T-Shirts with your registration and be guaranteed the right size and color. There will be a very limited number of T-Shirts available at the Jamboree so don?t wait. Please no special orders or requests. Please include payment with your registration fee. The following sizes are available: Small, Medium, Large, Extra Large $16, Double Extra Large $18. Colors are available: Blue, Tan, White & Gray.
Color
Size
Quantity
Amount
Registration Fee: $45 (per truck)
$
Additional Dinners: (Adult $7.50 or Child $3.50)
$
T-Shirts Ordered:
$
Total Enclosed:
$
I/We enter the 4Runner Jamboree at my/our own risk. I/We acknowledge that there are natural and non-natural risks involved in the activities of this event, and the sponsor cannot reduce or eliminate all risks of injury or harm. I/We agree to accept responsibility for all minors and adults in my/our participation group. I/We agree to accept personal responsibility for each, and any potential injury or harm before, during and after the event and on behalf of each person in my/our group, waive any claims of nature or kind, which may arise against the sponsor.
Signature:
Date:
Make checks / money orders payable to Jon Bundrant and mail check and form to: Jon Bundrant, 26176 Hemet Street, Hemet, Ca 92544 All Proceeds will go to the TLCA and United 4WD Club Cancellations received on or before March 15, 2000 will receive a 100% refund.
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