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BIKINI CONTEST REGISTATION FORM

Please print and fill out this form completely and mail it to the address below.

Please include a $25 registration fee

and a photo (or two) of yourself (please include a head shot)

Checks payable to:    So Cal Streetrod Association

PO Box 3833

Ramona, Ca. 92065

Questions?  Phone (619) 562 2732 or WWW.chargersteve.com

Name______________________________________________

Mailing Address_____________________________________

City______________________ St.______Zip_____________

Phone number  (_______)______________________________

Alternative Phone Number (______)______________________

E-Mail address_______________________________________

Birth Date/Year______________________________________

Short Bio/Interests____________________________________

___________________________________________________

___________________________________________________

YOU WILL BE PARTICIPATING IN A BIKKINI CONTEST AT THE WILD RIDES CAR SHOW ON SUNDAY AUGUST 15, 2010.

The event will be held In Pacific Beach.  The contest will be in the afternoon and you will be asked to arrive by 2 pm. You will receive an entry pass  after we receive your registration form.

Signature below releases rights to any and all photographs taken of you during the event to So Cal Streetrod Association. In Addition you agree to hold harmless So Cal Streetrod Association and any and all volunteers and staff of the Wild Rides & Classic Car Showdown & So Cal Streetrod Association for any accidents or injuries. MUST BE OVER 18 TO PARTICIPATE.

Participant’s Signature X_____________________________________ Date________