Eitzen Lions -- Rivers
& Bluff's Classic Tractors LLC Ride
Starting & Ending at Eitzen MN, Fire Station
Saturday July 1, 2017
|Name: _________________________ Telephone: ________________ Cell: ________________|
|City: __________________ State: _______ Zip: ___________ Email: _____________________|
|Emergency Contact: ________________________ Phone #: _________________|
|Tractor Information: Year: _________ Make: _______________ Model: _________________|
|Desired Traveling Speed: 10-12 MPH _____ 15 MPH _____ (All tractors must go 10 MPH minimum)|
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.
Pre-registration is appreciated. Sign up will be 7:30 am. Ride starts at 8:00 am. Be on time!
Fee for rides will be $20.00 per tractor / extra riders $10.00. Make checks payable to Eitzen Lions.
Total Enclosed: $__________ Please return to:
Please return to: