Registration Form Date: Registration # Receipt # Owner --- Participant --- Volunteer --- Name: Street Address: City: Province: Postal Code: How many family members:
Make: Model: Year: Color: Original Owner: Yes --- No --- Modified Yes --- No --- If Modified, please explain:
Can we post your pictures & name on website? Yes --- No --- Would you like a club Email Address? Yes --- No --- Would you like to be on the Executive Yes --- No --- Would you like to be active in promoting club Yes --- No --- Would you like to be a volunteer only? Yes --- No --- Would you like to be a sponsor? Yes --- No --- Do you belong to other clubs? Yes --- No ---; If so, which club:
Annual Fee: $30.00 Paid Yes --- No ---
By signing below, you accept responsibility for your vehicle, yourself and your family. You release all liability from All Generations Camaro & Firebird Club.
