REGISTRATION FORM ~ OHC CLASSIC BOAT SHOW AUGUST 19, 2012 from 10:00AM to 3:00PM Lake Oswego Corporation Docks (In-the-Water Show) Foothills Park Marina Docks (In-the-Water Show) George Rogers Park (On-land Show) Completed form must be electronically submitted by August 15. Owner(s) Street Address City   State   Zip Code Phone   E-Mail Boat Name  Manufacturer  Year Model Engine Manufacturer  HP  Boat Length Entry Class Runabout  Utility  Outboard  Contemporary/Reproduction  Other Display Location On Land Display   LOC In the Water Display   Foothills In the Water Display Brief History: In consideration of the acceptance of the right to participate, participants and spectators, by attending, release and discharge Oswego Heritage Council (OHC), ACBS/Columbia-Willamette Chapter, the City of Lake Oswego, and their Officers, Directors, Employees, Agents, Representatives, and Servants, and anyone Else connected with the management and presentation of the Oswego Heritage Council Car/Boat Show from claims from any and all known or unknown damages, injuries, losses, judgments, and/or claims, from any cause whatsoever that may be suffered by any participant to his person or property. Further, each participant expressly agrees to indemnify all the foregoing entities, firms, persons and bodies, of and from any and all liability occasioned or resulting from the conduct of participants taking part in the event. Authorization (Full Name Typed) If you wish to donate to the Oswego Heritage Council, please use the DONATE button on the previous page. The Oswego Heritage Council is a 501 (c) (3) tax-exempt corporation, contributions to which are fully deductible for tax purposes as provided by law. (The IRS EIN is 93-0983947.)

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