13th Annual Light Up The Night

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Vehicle Registration Form - Required To Bring a Vehicle

Name *

Phone Number *

E-Mail *

What is the Year / Make / Model of the vehicle you wish to register? *

Are there any special facts about your vehicle that you want to share?

Will you be entering the Firefighter Vehicle Contest? *

*** This is reserved for CURRENT MICHIGAN FIREFIGHTERS only

Yes

If you answered YES, which Department(s) do you work for?

Would you be willing to donate $5 (or more if you 'd like!) to this year's Charity -- The Washtenaw County Sheriff Honor Guard --*per vehicle* entered into the show, in lieu of a Registration Fee? *

*** If you check YES, we will collect your generous cash donation upon check-in :)

YES! Of course I would love to donate to a great cause! $5 is minimal for an event this fun!

Nah, I'm not feeling charitable.

***LIABILITY & PHOTO RELEASE*** *

By checking this box, I accept that Priority One Emergency shall not be responsible for damage, injury, or theft during this event. My guests and I permit Priority One Emergency to use our names and/or pictures for any/all publicity and advertising purposes before, during and after the event at no cost to Priority One Emergency.

I accept

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