“The Great Car Rally of 2020" Registration Form
Event Info:

Start time: Aug. 1, 10:00 AM at Kit Carson Park, 3333 Bear Valley Pkwy, Escondido, CA 92025

This (completed) Form and Payment by July 28th, 2020

If you would like to fill out a physical form, please return to page 1 of the website: www.wwggd.org where you will be able to find the form.
Email address *
Entrant Name(s) *
Contact Phone Number *
a) The Rally Entry Fee is $40 and includes one box lunch. Please indicate the sandwich choice below: *
b) It is $10 for each additional lunch. Would you like any additional lunches? *
If yes, how many would you like and what choices? If not specified all choices will follow question (a)
c) Would you like to make an additional donation to the Gregg M Garon Scholarship Fund? *
d) If yes, please indicate the amount
e) Total Amount ($40 entree fee + $10 for each additional lunch + any donation) *
Payment Information
Please send the total amount (indicated in question e) via Paypal to wwggd68@yahoo.com or click the "Donate" button on page 1 of our website at wwggd.org
Make of Car *
Year of Car *
Model of Car *
License Plate Number *
Car Club Affiliation, if any:
Terms and Conditions: I agree, as a condition of my participation and in consideration thereof, to be solely responsible for any damage or injury to third parties or to myself resulting from anything connected with the event name above. I agree to fully indemnify and hold Gregg’s Goals or the San Diego Miata Club, their officers and representatives harmless for or in any claim, loss, damage, injury or liability which may be asserted against them by me or by any third party as a result of my activity. The foregoing covenants of exculpation and indemnity are intended to be and are complete, general and without restriction and include but are not limited to negligence (active or passive) or willful, reckless or wanton activity. I further agree that a licensed driver will operate my vehicle and that the driver will comply with all applicable provisions of the California Vehicle Code. I further warrant that I carry automobile liability insurance on the vehicle to be used in the above named event, that meets or exceeds all California statutory requirements and liability insurance will be in full force and effective on the date of the above named event. I also agree that I will not participate in the above named event under the influence of any alcoholic beverages or drugs that would impair my ability to operate my vehicle. *
Please Don't Forget! Payment Information
Please send the total amount (indicated in question e) via Paypal to wwggd68@yahoo.com or click the "Donate" button on page 1 of our website at wwggd.org
Contact Information
Contact: Dennis or Maryanne Garon at wwggd68@yahoo.com or dmgaron@cox.net or (760) 747 - 1115
A copy of your responses will be emailed to the address you provided.
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