Touch-A-Truck Vehicle Commitment Form
This form serves to confirm your commitment to participate in COGNITION’s Touch-A-Truck fundraiser to be held on Saturday, September 21, 2019 from 10am – 3pm.

Information about where to park and who to contact on the day of the event will be communicated during the week leading up to September 21st. A representative of the owner/operator of the vehicle must remain with the vehicle at all times during the event and must complete a volunteer form.

Return a completed Vehicle Commitment Form FOR EACH VEHICLE and a Volunteer Form for each attendee by Monday, September 1st along with photo(s) and dimensions of the vehicle(s). Forms should be submitted to info@cognitiondavie.com or by mail to COGNITION Davie P.O. Box 816 Mocksville, NC 27028.
Name of Company *
Your answer
Contact Person *
Your answer
Contact Phone Number *
Your answer
Contact Email Address *
Your answer
Company/Individual Address *
Your answer
Description of Vehicle *
Your answer
Length of Vehicle
Height of Vehicle
Your answer
Name of person(s) to accompany vehicle *
Your answer
Mobile Phone # of person accompany vehicle *
Your answer
Participants and guests, by digitally signing this form (checking yes), release and discharge COGNITION of Davie County, Inc. and anyone connected with the management of this event, of any and all damages, losses, injuries, judgements, or claims sustained by them or their vehicle(s) or personal property. *
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