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GAIL FOSTER gfoster@troupco.org
CHARLES NIXON cnixon@troupco.org 706-883-1616 For more Information
Name__________Name:______________________________ Home Phone# ___________________________ Cell #_________
Address_________ Address____________________________City_________________State______ Zip___________
*Awards will be given out for 1st – 3rd place entries & “The Sheriff’s Choice Award”
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Email Address______________________________________________________________________________
Vehicle Make___________________ Year____________ Model________________ Color________________
Signature________________________________________________________Date______________________
**I will be responsible for my own insurance. I(we) will not hold the sponsor, promoters, Troup County, Troup Sheriff's Office, Donny Turner, LaGrange Toyota or their employees, volunteers, responsible for any damages, injuries, losses, judgement or claims, known or unknown, from any cause whatsoever that might be suffered by an entrant or his or her person or property. This is county property. Absolutely no alcoholic beverages on the grounds or person.
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***I will be (we*
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