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Sussex Lions 3rd Annual |
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By completing this form, entrants and guests release and discharge the Sussex Lions Club & Sussex Village Park and other affiliates from any known or unknown damages, losses, injuries, judgments, or claims from any causes suffered to entrants, guests, vehicles, or property.
| Name | Date |
| Address | |
| City, State, Zip | Phone Number |
| Signature (Required) |
Year ______ Make _______________ Model _______________
Free T-Shirts To The First 150 Entries!!!
T-Shirt Size Please 4 One:
| Med q | Large q | XL q | 2XL q |
3XL q |
Class - Please 4 One:
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Car - Stock (1949 & Older) |
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Car - Modified (1970-1979) |
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Car - Modified (1949 & Older) |
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Car - Stock (1980-Present) |
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Car - Stock (1950-1959) |
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Car - Modified (1980-Present) |
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Car - Modified (1950-1959) |
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Truck |
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Car - Stock (1960-1969) |
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Semi |
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Car - Modified (1960-1969) |
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Motorcycle |
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Car - Stock (1970-1979) |
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Mail Completed form along
with $8.00 check made out to
Sussex Lions Club to:
Schroeder Implement
N64 W23410 Main Street
Sussex, WI 53089
Pre-registration cut-off is 08/01/2009.
Sponsors Welcome call
Jeff 414-380-9806
Registration is from 8:00am – 11:00am
Judging is from Noon – 2:00pm
Awards are presented at 3:30pm
Cash and prize raffles at 3:30pm