Mcpa 2009 Fun Run Registration Form

Registration Form 2009 Fun Run “Haulin’ on Old Hickory” To Benefit:

Captain’s Name:_____________________ Phone: ___________________ Email: _______________________ 
 Street Address: ____________________________________________ (street) (city) (state) (zip code) Crew Members: 1.)_______________ 2.) ________________ 3.)_______________ 4.) ________________ Make of Boat: _________________ Registration #: ______________ Boat Name: ____________________ Length: ___________

$125 per boat (includes Captain & 1st mate) t-shirts (2) brunch (2) dinner (2) raffle tickets (2) Please circle method of payment: Check Cash Make checks payable to: VFW Post 9851 Pre-registration can be sent to: MCPA 182 Cumberland Dr. Hendersonville, TN 37075 All
registrants
must
read
and
sign
release.
This
is
a
Release
and
Indemnity
Agreement:
 I
hereby
waive
my
rights
to
sue
or
make
any
claim
whatsoever
against
Music
City
Powerboat
Association,
the
 promoters,
sponsors,
volunteers
and
all
other
persons,
participants
or
organizations
conducting
or
connected
 with
this
event
for
any
injury
to
property
or
person
I
may
suffer,
including
crippling
injury
or
death,
whether
 such
injury
arises
while
I
am
preparing
for
or
participation
in
the
event,
while
I
am
upon
the
event
premises,
or
 while
I
am
traveling
on
public
or
private
roadways
and/
or
waterways.
I
am
aware
that
this
event
is
not
a
race,
 nor
do
MCPA,
its
promoters,
sponsors,
volunteers
or
others
involved
represent
that
the
event
is
intended
as
a
 race.
I
understand
the
risks
for
my
property
and
me
while
participating
in
the
event
and
while
upon
the
event
 premises,
relying
upon
my
own
judgment
and
ability
assume
as
such
risks
of
loss
and
herby
agree
to
reimburse
 all
costs
to
those
persons
or
organizations
connected
with
this
event
for
damages
incurred
as
a
result
of
my
 negligence.
 
 I
agree
to
release:
(driver)
____________________________________________________________________________
 (1)_______________________________________________________(2)_____________________________________________
 (3)_______________________________________________________(4)_____________________________________________
 


There will be a MANDATORY captain’s meeting at 10:00am the day of the event. All drivers must sign in to receive their captain’s packet at this time. 








Fun Run DVD Order Form $25 Each year the action of the Fun Run is captured on video, edited and produced to view on DVD. 2009 is no exception. Fill out the information below and include with your registration form to pre order and we will mail you a copy. DVDs are usually done about 4-5 weeks after the Run. Name:___________________ Address: ______________________________ 2009 DVDs are $25.00 Circle Method of Payment:

Additional $25 to my Registration Check I would like to order previous years Fun Run DVDs… 2008: $20 2007: $15 Contact: Brandon Hyatt 615-830-5122 [email protected]

Cash