Cops 4 Kids

Mike Perkins Memorial
 Car, Truck, and Motorcycle Show
(formerly the Cops for Kids Car, Truck, and Motorcycle Show Show)
4126 N. Galena Road
Peoria, IL 61614

(Print out/Detach/Mail in with your check made payable to Cops 4 Kids)

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 LIABILITY - NEITHER THE SPONSOR (COPS FOR KIDS), OR ANY COMMITTEE MEMBER, NOR OWNER OF THE PROPERTY (THE CITY  OF PEORIA/PEORIA PARK DISTRICT) AT WHICH THE SHOW IS PRODUCED SHALL BE RESPONSIBLE OR LIABLE FOR ANY  LOSS, DAMAGE, OR INJURY TO ALL OR ANY PART OF THE EXHIBITORS DISPLAY, AND/OR VEHICLE, OR EXHIBITOR. THE EXHIBITOR SHALL AND DOES HERE BY WAIVE ANY AND ALL RIGHTS HE/SHE MAY HAVE AGAINST THEM OR ANYONE OF THEM  FOR SUCH LOSS, DAMAGE TO PROPERTY, OR INJURY. WE HAVE THE RIGHT TO REFUSE ANY ENTRY.

APPLICANT SIGNATURE______________________________DATE__________________

Cops 4 Kids

Mike Perkins Memorial
 Car, Truck, and Motorcycle Show
(formerly the Cops for Kids Car, Truck, and Motorcycle Show Show)
July 11, 2004
RIVERFRONT PLAZA 
GATEWAY BUILDING
FOOT OF HAMILTON at WATER STREET  
  PEORIA, IL 61602

Pre-registration by mail $12.00 THROUGH July 1, 2004, or

Register at the Shine and Show, July 09, 2004 or $ 12.00 , or

Register at the Cruise In, July 10, 2004 or $ 12.00 , or

Register on the Day of the show, July 11, 2004  for $ 20.00