FORM MUST BE PRINTED AND MAILED
To register for the 2009 Midnight at the Oasis festival on March 6-8, 2009 please complete the form below, print it out and mail it with your check for $85 made payable to Caballeros de Yuma at PO Box 5987, Yuma, AZ 85366. Entries will be limited to 850 cars. Entries must be mailed and post marked on, or after, May 1, 2008 - no exceptions. No refunds after December 31, 2008. Event held rain or shine.

2009 Midnight at the Oasis Registration Form

 Name

 Address

 City  State   Zip

 Email Address

 Phone Car Make   Year

 Color    License #  

 Club

One free T-shirt is included in the registration packet. Please check size below

 Shirt Size   SM Med LG XL XXL XXXL      (Add $2 each for XXL and XXXL Sizes) 

Additional shirts may be purchased for $15. Indicate number and sizes below

     Number of Extra Shirts    Sizes

 Extra Entrant Badges are $50 (includes Admission, Concert and Meals)

                         Number of Extra Badges 

          TOTAL AMOUNT SUBMITTED 

 

All registered vehicles must carry automobile liability insurance with minimum limits of $15,000 to $30,000 bodily injury and $10,000 property damage. The undersigned acknowledges and understands that no insurance will be provided by the Caballeros de Yuma, Inc.
LIABILITY: In consideration of the acceptances of the right to participate - entrants, participants and spectators by execution of this entry form, release and discharge Caballeros de Yuma Inc., the State of Arizona, the City of Yuma, the Yuma Chamber of Commerce and their officers, directors, trustees, employees, agents, representatives, volunteers and servants, and anyone else connected with the management and presentation of Caballeros de Yuma Inc of and from any all known or unknown damages, injuries, losses, judgments, and/or claims from any cause whatsoever that may be suffered by entrant to his person or property, further, each entrant expressly agrees to indemnify all of the foregoing entities, firms, persons and bodies of and from any and all liability occasioned or resulting from the conduct of the entrants. Entrant agrees that participation in any contest, games or activities may be limited.

I have read this form and agree to all conditions of the Midnight at the Oasis application and to rules governing the event as set forth on this form and agree to observe all rules and decision of the event management.

Entries Must Be Signed

 
 
 
 
Date Signature of Participant Legal Guardian (if applicable)

 

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