SATURDAY, MAY 21, 2016 Registration $25 includes lunch Passenger eligible to purchase an extra poker hand for $25.00 with valid driver’s license. Lunch included. Registration 8:00 am • Rally begins at 10:00 am For more information: www.mustangsallyrally.com Lunch provided to driver. Rules 1. MUSTANGS ONLY! 5 Best Poker Hands Win $ 500 Co-Sponsors Class Sponsors Lunch Sponsor presents 4 th Annual Over $17,000 raised for children’s programs in Sarnia-Lambton! PRE-REGISTRATION DEADLINE IS MAY 16, 2016 ENTRY FORM Please Print Registration: $25.00 includes lunch Passenger eligible to purchase an extra poker hand for $25.00 with valid driver’s license. Lunch included. Please make cheques* payable to: Pathways Health Centre for Children *Post-Dated Not Accepted Return to: Mustang Sally Rally c/o Pathways Health Centre for Children 1240 Murphy Road Sarnia, ON N7S 2Y6 For information, call Wendell Drysdale (519) 491-2265 or visit www.mustangsallyrally.com In consideration of the acceptance of the right to participate, entrants, participants and spectators by execution of the entry form, release and discharge the Pathways Health Centre for Children, City of Sarnia, Lambton Ford, Ford Canada, any other participating sponsors, the Province of Ontario and their officers, employees, agents, representatives and servants and anyone else with unknown damages, injuries, losses, judgements and/or claims from any cause whatsoever that may be suffered by the entrant to his person or property. Further, each entrant agrees to indemnify all of the foregoing entities, firms, persons and bodies of and from any and all liability occasioned or resulting from the conduct of entrants or any participant assistant or cooperating with entrants under the direct control of the entrant. LIABILITY Signature: Dated this Day of 2016 Name: Yr/Model/Colour: Address: Club Affiliation: City: Email Address: Prov./State: Postal/Zip Code: Phone Number: Registering for: Rally ❑ _____ Spots @ $25