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TRA 2006 14-18 June 2006, Burr Oak State Park. www.triuphregisterofamerica.com (937) 376-9946 email: clough@erinet.com TRA 2006 2002 Burr Oak State Park, OH June 14-18, 2006 Registration Form TRA 2006 2002 Burr Oak State Park, OH June 14-18, 2006 Registration Form Please fill out and return this registration form, including waiver on reverse side, with payment to: TRA 2006, c/o Stan Seto, 1754 Lindenhall Dr., Loveland, OH 45140. Please make checks payable to “Triumph Register of America” in US Dollars and write “TRA 2006” in the notes section. Name(s): Address: City: State/Province: Zip/Postal Code: Country: Phone: Email: Current TRA Member? Y N (Circle one - TRA National Meeting is for TRA members only, non-TRA members pay a registration fee that includes a year – four newsletter issues - TRA membership – see below) Number Of Show Cars Attending: Please indicate which show classes they will be in (one class per car please): Concours: TR2 TR3 TR3A TR3B TR4 TR4A Modified Senior Participant’s Choice: TR2 TR3 TR3A TR3B TR4 TR4A Other Days Attending (please circle): Wednesday Thursday Friday Saturday Sunday TRA MEMBER FAMILY REGISTRATION $65: NON-TRA FAMILY REGISTRATION $90: AWARDS BANQUET $30 EACH ADULT Number of Adults: Cost: AWARDS BANQUET $15 CHILDREN 6-12 Number: Cost: (Children under 6 free) EXTRA OFFICIAL TRA 2006 BEER MUGS $10ea: Total Due: Registrations include all events as described in brochure except banquet and optional events. Registrations must be received by May 31, 2006. Registration materials will be sent to registrant via mail. There will NOT be any on-site registration. Refunds must be requested in writing and received before May 31, 2005. Refunds will be subject to a $20 cancellation fee as well as the cost of any extra beer mugs ordered (but we will send you the beer mugs!)
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TRA 2006 14-18 June 2006, Burr Oak State Park. www.triuphregisterofamerica.com (937) 376-9946 email: clough@erinet.com TRA 2006 2002 Burr Oak State Park, OH June 14-18, 2006 Registration Form TRA 2006 2002 Burr Oak State Park, OH June 14-18, 2006 Registration Form PLEASE READ AND SIGN BELOW. REGISTRATION WILL NOT BE PROCESSED WITHOUT SIGNATURE OF EACH DRIVER ATTENDING PROOF OF INSURANCE / INSPECTION Proof of auto-liability Insurance is required to participate in driving events, failure to provide proof of current insurance will result in disqualification from participating in the TRA sponsored driving events. WAIVER / INDEMNITY PROVISION - PLEASE READ CAREFULLY AND SIGN THE FOLLOWING I am aware, of the hazards inherent with motor vehicle events, and I specifically release the organizers, supporting sponsors, Triumph Register Of America, and their respective officers and event volunteers (²The Released Parties"), both collectively and separately, from any and all liability for any and all claims, demands, actions, INCLUDING CAUSES OF ACTION BASED ON ANY ALLEGED NEGLIGENCE OR GROSS NEGLIGENCE OF THE RELEASED PARTIES, judgments, liens and causes of action of whatever nature or character, caused and/or incurred by me, while participating in this convention and its related events. It is further agreed that any lawsuit for claims, demands, judgments, liens and causes of action described above, shall be subject to the laws of the State of Ohio and its case law. I further hereby indemnify and hold harmless the organizers, supporting sponsors, Triumph Register Of America, and their respective officers and event volunteers (²The Released Parties²) from any and all claims, demands, actions, INCLUDING CAUSES OF ACTION BASED ON ANY ALLEGED NEGLIGENCE OR GROSS NEGLIGENCE OF THE RELEASED PARTIES, judgments, liens and causes of action of whatever nature or character, including for contribution and indemnity, which have been asserted or which may be asserted by any party, settling party, person, firm, corporation or business entity arising out of, resulting from, or in any manner connected with the allegations of any lawsuit resulting from participation in this TRA event, including, but not limited to, third party actions. This indemnity agreement includes, but is not limited to, any and all claims, demands, actions, judgments, liens, and causes of action of any other party, settling party, person, firm, or corporation seeking contribution or indemnity from the Released Parties for any sum whatsoever in connection with any of the claims made. The Indemnity provision contained within this waiver applies even if such claims, demands, judgments, actions and causes of action were caused in whole or in part by any act, omission, negligence, gross negligence, breach of contract, intentional conduct, violation of statute or common law, breach of warranty, product defect or conduct of any type of the Released Parties. Signature Date Signature Date PLEASE READ AND SIGN BELOW. REGISTRATION WILL NOT BE PROCESSED WITHOUT SIGNATURE OF EACH DRIVER ATTENDING PROOF OF INSURANCE / INSPECTION Proof of auto-liability Insurance is required to participate in driving events, failure to provide proof of current insurance will result in disqualification from participating in the TRA sponsored driving events. WAIVER / INDEMNITY PROVISION - PLEASE READ CAREFULLY AND SIGN THE FOLLOWING I am aware, of the hazards inherent with motor vehicle events, and I specifically release the organizers, supporting sponsors, Triumph Register Of America, and their respective officers and event volunteers (²The Released Parties"), both collectively and separately, from any and all liability for any and all claims, demands, actions, INCLUDING CAUSES OF ACTION BASED ON ANY ALLEGED NEGLIGENCE OR GROSS NEGLIGENCE OF THE RELEASED PARTIES, judgments, liens and causes of action of whatever nature or character, caused and/or incurred by me, while participating in this convention and its related events. It is further agreed that any lawsuit for claims, demands, judgments, liens and causes of action described above, shall be subject to the laws of the State of Ohio and its case law. I further hereby indemnify and hold harmless the organizers, supporting sponsors, Triumph Register Of America, and their respective officers and event volunteers (²The Released Parties²) from any and all claims, demands, actions, INCLUDING CAUSES OF ACTION BASED ON ANY ALLEGED NEGLIGENCE OR GROSS NEGLIGENCE OF THE RELEASED PARTIES, judgments, liens and causes of action of whatever nature or character, including for contribution and indemnity, which have been asserted or which may be asserted by any party, settling party, person, firm, corporation or business entity arising out of, resulting from, or in any manner connected with the allegations of any lawsuit resulting from participation in this TRA event, including, but not limited to, third party actions. This indemnity agreement includes, but is not limited to, any and all claims, demands, actions, judgments, liens, and causes of action of any other party, settling party, person, firm, or corporation seeking contribution or indemnity from the Released Parties for any sum whatsoever in connection with any of the claims made. The Indemnity provision contained within this waiver applies even if such claims, demands, judgments, actions and causes of action were caused in whole or in part by any act, omission, negligence, gross negligence, breach of contract, intentional conduct, violation of statute or common law, breach of warranty, product defect or conduct of any type of the Released Parties. Signature Date Signature Date
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