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Tee shirts are available for purchase at southlakedesigns.shop or Rick’s Place. Orders must be received by September 26, 2020. (A minimal amount will be available for purchase the day of the event.) This Event Is Designed For Fun and to Raise Money For a Good Cause. This year’s proceeds will go to Shari Bell Preregistration is encouraged to help us avoid large crowds. To preregister for this year's event, mail the Participant Waiver below and Registration Fee to: Rick's Place, P.O. BOX 114, Perry, MO 63462. Preregistraion must be received by October 5, 2020 Participant Waiver & Registration Rick’s Place Annual Golf Cart/ Side By Side Poker Run, October 10, 2020 I ____________________________ , as a participant in the Rick’s Place Annual Golf Cart/Side By Side Poker Run understand and realize that the activity could include actions or tasks which might be dangerous or hazardous to me. By signing below, I agree to the fact that participation can cause harm or injury to me. I release the business, organizational committee, designated stop owners, and other participants, from all liability, costs, and damages, which could arise from participation in the above named event or activities. I agree to accept financial responsibility for any and all costs related to my participation and give my confirmation of this by signing this document. Signature _____________________________________________ Date ______________ If you are under 18, this document must be signed by your parent or guardian. Signature _________________________ Date ______________ October 10, 2020 2 to 5 P.M. Registration begins at 2 P.M. at Rick’s Place Patio, Perry, Mo. $10 Entry Fee Per Person Each person in the cart may participate upon payment of entry fee. Must be 16 to participate. Any questions, Call 573-822-3050. PRIZES AWARDED AT 6 P.M. AT RICK’S PLACE Rick’s Place – Cheryl O. Memorial (Orange Flag Required)

October 10, 2020 - Perry, Missouri · I agree to accept financial responsibility for any and all costs related to my participation and give my confirmation of this by signing this

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Page 1: October 10, 2020 - Perry, Missouri · I agree to accept financial responsibility for any and all costs related to my participation and give my confirmation of this by signing this

Tee shirts are available for purchase at southlakedesigns.shop or Rick’s Place. Orders must be received by September 26, 2020. (A minimal amount will be available for purchase the day of the event.)

This Event Is Designed For Fun and to Raise Money For a Good Cause. This year’s proceeds will go to

Shari Bell Preregistration is encouraged to help us avoid large crowds.

To preregister for this year's event, mail the Participant Waiver below and Registration Fee to: Rick's Place, P.O. BOX 114, Perry, MO 63462. Preregistraion must be received by October 5, 2020

Participant Waiver & Registration Rick’s Place Annual Golf Cart/ Side By Side

Poker Run, October 10, 2020 I ____________________________ , as a participant in the Rick’s Place Annual Golf Cart/Side By Side Poker Run understand and realize that the activity could include actions or tasks which might be dangerous or hazardous to me. By signing below, I agree to the fact that participation can cause harm or injury to me. I release the business, organizational committee, designated stop owners, and other participants, from all liability, costs, and damages, which could arise from participation in the above named event or activities. I agree to accept financial responsibility for any and all costs related to my participation and give my confirmation of this by signing this document. Signature _____________________________________________ Date ______________ If you are under 18, this document must be signed by your parent or guardian. Signature _________________________ Date ______________

October 10, 2020 2 to 5 P.M.

Registration begins at 2 P.M. at Rick’s Place Patio, Perry, Mo. $10 Entry Fee Per Person

Each person in the cart may participate upon payment of entry fee. Must be 16 to participate. Any questions, Call 573-822-3050.

PRIZES AWARDED AT 6 P.M. AT RICK’S PLACE

Rick’s Place – Cheryl O. Memorial

(Orange Flag Required)