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                                 FIRST 100 PRE-REGISTERED WILL RECEIVE A FREE T-SHIRT!!!

 

Pre-registration must be postmarked by: March 1, 2012  

 

6th ANNUAL “EARLY BIRD SHOW”

 

MARCH 23, 24th  2012 Rain or Shine!!!  

 

Located at the CityPark in Kilgore, Texas (downtown)

 

Hosted by the LONE STAR LUG NUTS Car Club

 

Benefiting the

 

Percy R. Johnson Burn Foundation Youth Camp: “I’m Still Me”

 

Registration begins at 6:30 P.M. Friday at the City Park, and continues until 10:00 A.M at the Park, Awards at 3:00 P. M.

 

Top 25 Choice Awards

 

Best of Show Car & Truck; Sponsor’s Choice;   Ladies Choice;   Club Choice; Percy Johnson Choice

 

 And Many More Special Awards

 

  Door Prizes; 50/50 Pot; Wipe-Out Board; Food and Music Galore, and More

 

Entertainment: Shake Rattle and Roll,

 

                                                                     Jim Ward                                                      Sonyea Reeves                                    Gary Morris                          

                                                903-734-5193                                                     903-235-2553                                    903-720-4733

                                      Lmward1949@yahoo.com                                         sonyear07@aol.com                             

                                                                       

 

                                                                                                Registration Fee: Car Show  $25.00       Make check payable to Lone Star Lug Nuts

Mail to: 804 N. Doma Street, White Oak, TX75693

 

Email Address:________________________________________________________

 

(do you prefer to be contacted by email or regular mail: email ____   regular ____)

 

Confirmation of registration sent by email only

 Name: ____________________________________________________________________      

 Address: __________________________________________________________________       

 City: __________________  State: _____  Zip: __________  Phone # _________________

  Year ­­­­_____ Make _________________ Model ____________________________

 Club _____________________________________________

 T-shirt Size:  M ___  L ___  XL ___  2XL ____      Extra Shirts   $15 each for M -  XL       $18 each for 2XL or larger

 Total amount enclosed: ____________________

 

In consideration of the acceptance of the right to participate, entrants, participants and spectators, by execution of this form, release and discharge the Lone Star Lug Nuts, The Percy Johnson Burn Foundation, and the City of Kilgore  representatives and anyone connected to the management or presentation of The Early Bird Show from any loss, damage, or injury to persons, vehicles or any articles while attending and participating in the Early Bird Show.  I accept full responsibility for damages to me, my family or visitors. If unable to attend, no monies will be refunded. By signature below I agree to let pictures of myself and my car be used for publication. 

________________________________                                           __________________ 

  Signature                                                                                           Date