Project Sunshine Jeep/4x4 Ride
First Name
*
Last Name
*
Phone Number
Please enter a valid phone number.
Format: (000) 000-0000.
Email
example@example.com
Year/Model/Name of your Jeep
*
Do you consent to use of photos/your likeness in marketing of this event?
*
Yes
No
The individual named above desires to participate in the Project Sunshine Jeep/4x4 Ride Benefit, organized by Off Road Realty, LLC of Greenville NC. Event date: Saturday, September 26th. I am aware and understand that the activity is 'at will' ________ (initial required). I am aware that I am responsible for following all rules/regulations while participating in this activity. ________ (initial required). I hereby expressly waive and release any and all claims, now known or hereafter known against (1) Off Road Realty LLC (2) Daughters of Worth (3) The governing bodies of areas we cover (4) the property owners/management of the ride stops, event venue, and will not make or bring any such claims against anyone involved in the event. ________ (initial required).
Signature
*
Submit
My Products
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Product Name
Project Sunshine Jeep/4x4 Ride Registration-$25
$25.00
$
25.00
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Credit Card Number
Security Code
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