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Release Statement

In exchange for entering my vehicle in the activities of the Redwood Coast Miata Club, I agree to accept full responsibility for myself and companions, and to release RCMC, its officers, organizers, members, sponsors and vendors from any and all liability for injury, damages or loss arising from my participation or attendance in this activity.

Activity:	____________________________
Name:	____________________________ Club ______________________
Vehicle:	Year _________ Make ____________ Model _________________
	License Plate Number ________________ State _____
Signature:	____________________________ Date ______________

Release Statement

©Copyright 2000-2009, Redwood Coast Miata Club. All rights reserved.

^©Copyright 2000-2009, Redwood Coast Miata Club. All rights reserved.