MUD BOG COMPETITION REGISTRATION FORM Sponsored by the Warren County Farmers’ Fair Association , OK AUTO 4WD and TIRE and H&K and Sons August 1, 2015 4:00 p.m. Classes: Main Arena, Fairgrounds _______4WD Vehicles, unaltered DOT tires. Size up to 33 inches in diameter. _______4WD Vehicles, unaltered DOT tires. Size 33.1 to 36 inches in diameter. _______ 4WD Vehicles, unaltered DOT tires. Size 36.1 to 40 inches in diameter. _______ 4WD Vehicles, unaltered DOT tires. Size 40.1 to 44 inches in diameter. (Check class you are entering) Drivers Name :_________________Age__________________ Phone No. ____________________ Address:_________________________________________________________________________ R.D.#, Box, P.O. Box, Street Name _________________________________________Email___________________________ City, State and Zip (Must have complete address) Vehicle:______________________________ Year/Make:__________________________________ Valid drivers license # ______________________________________________________________ Valid vehicle plate # ________________________________________________________________ o Check here if you would like to receive event updates and/or product specials by email. I have read the rules and accept the decision of the judges as final. I elect to use the track in the condition in which it is prepared. I agree to have my vehicle at the competition area and sign in at the registration desk no later than 3:00 p.m. on August 1, 2015, or I will be ineligible to compete. I hereby release the Warren County Farmers’ Fair Association, Inc., its directors , members ,officers, employees agents and sponsors from any and all responsibility or liability for injury or damages; and also, release and agree to indemnify the Warren County Farmers’ Fair Association, Inc., against any damage claim, legal proceeding or judgement arising out of the transportation, or exhibition of the listed participant at the said Fair, and further agree to hold the said Warren County Farmers’ Fair Association, Inc., its directors , members ,officers, employees, agents, OK Auto 4WD & Tire, Inc. and H&K and Sons harmless from any claim or suit for injury, damage or blame resulting from the participation in the 4WD mud bog competition. I hereby enter this contest at my own risk and recognize that I will be responsible for any accidents or injury incurred or property damage or injury to others caused by me or my vehicle. I also agree to and understand that no alcoholic beverages are allowed on the Fairgrounds, on my person or in my vehicle. If I am found to be under the influence, I will be escorted off the Fairgrounds. Signed by: _____________________________________________Date_____________________ Signature of Participant (18 years or older) ENTRIES MUST BE RECEIVED NO LATER THAN FRIDAY JULY 31, 2015. MAIL COMPLETED ENTRY FORM WITH A $25.00 FEE (CHECK OR MONEY ORDER MADE PAYABLE TO; OK AUTO 4WD & TIRE) TO: OK AUTO 4WD & TIRE 2621 ROUTE 57 STEWARTSVILLE, N.J. 08886 SPACE IS LIMITED TO 50 VEHICLES, SO REGISTER EARLY!