REGISTRATION FORM for OHC COLLECTOR CAR SHOW AUGUST 19, 2012 from 10:00am to 3:00pm Completed form must be electronically submitted by August 15 to avoid registration and check-in delays the morning of the event. (Due to increased participation, there can be no registration by phone this year.) First Name   Last Name: Street Address City   State     Zip Code   Phone   E-Mail   Car Make & Model Car Year  Color  Car Club In consideration of the acceptance of the right to participate, participants and spectators, by attending, release and discharge Oswego Heritage Council (OHC), 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, press 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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