Douglas County Humane Society CAR & MOTORCYCLE SHOW
  April 16, 2011  

REGISTRATION / ENTRY FORM
Vehicle Owner's Name: _____________________________________________.
Phone Number: __________________________________________________.
Mailing Address: ________________________________________________.
City/State/Zip: _________________________________________________.
Vehicle Type: ___________________________________________________.
Color / Description: ______________________________________________.
Year Make Model: _______________________________________________. 

Vehicle Entry donation $20.00 minimum: $ ____________________
Motorcycle Entry donation $15.00 minimum: $_________________  Thank You.
Please make your check out to Douglas County Humane Society.  Mail with this form to Charity Car Show, P.O. Box 5453, Douglasville, Ga. 30154 

All donations and proceeds go directly to the Douglas County Humane Society.  www.DouglasCountyHumaneSociety.org 

Boundary Waters Recreational Park 5000 Hwy 92 / North 166, Douglasville, Ga.  30135.  All pets must be on a leash.  This wonderful park needs your cooperation to help stay as clean as possible.  There will be adequate trash containers, as well as lighted and heated clean restroom facilities.  No alcohol is allowed and most of the Preserve is No Smoking. 

Signing this request for attending, displaying at, or leasing vendor space indicates my understanding that the Douglas County Humane Society and Douglas County accept No Liability for any injury to person(s) or damage to property or thefts incurred by anyone attending, displaying, leasing vendor space at this event.
Signature: ______________________________  Date:_________________
Printed name: __________________________________________________

*If you cannot make the event and want to make a donation, please write 'Donation only' on the 'Vehicle Type' line and mail.
For more information, see www.ShadetreeMechanic.com or call 770 489 7164