Eitzen Lions  --  Rivers & Bluff's Classic Tractors LLC Ride
Starting & Ending at Eitzen Fire Station
Saturday July 5th, 2008

Name: _________________________   Telephone: ________________   Cell: ________________
Address: ___________________________
City: __________________   State: _______   Zip: ___________   Email: _____________________
Emergency Contact: ________________________   Phone #: _________________
Tractor Information:   Year: _________   Make: _______________   Model: _________________
Desired Traveling Speed:   10+ MPH _____   12+ MPH _____   15+ MPH _____  (All tractors must go 10 MPH minimum)
 

Please bring your own lunch for the noon meal.

In consideration of your acceptance of this entry, I hereby, for myself, my heirs, my executors, administrators, waive any and all rights and claims for damage I may have against individuals associated with this event, its agencies, representatives, successors and assigns, for any and all injuries suffered by me in said event. I attest and verify that I have full knowledge of the risks involved in this event and am physically able and sufficiently trained to participate in this event. I understand the Rivers & Bluff's Classic Tractors LLC committee reserves the right to limit the number of tractors involved in this ride. The Rivers & Bluff's Classic Tractors LLC committee reserves the right to refuse a participant entry into this event if committee desires to do so.

Signature of Driver: ___________________________________   Date: ___________________

You must have a Drivers License and must present it upon Registration the day of the Ride. You will be required to sign a Drivers Safety pledge.

Check-in will be 8:00 am. Driver's meeting at 8:30 am. Departure after Driver's Meeting. Be on time!

Fee for the ride: $10.00 Payable to Eitzen Lions Club.

Mail signed copy and check or money to:  Francis Myhre at the Eitzen State Bank


 
Click HERE for the Driver's Safety Pledge