More info

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.

Signature:
Email Address: