Text Box: Liability Release   I hereby agree to conform to and comply with the rules governing the Steve Owens Benefit Run. I further agree to hold blameless the Steve Owens Benefit Run, staff, sponsors, promoters, and all other persons, participants or organizations conducting or connected with this event for injury to property or person I may suffer, while participating in the event and while upon event premises. I also agree to assume responsibility for any property damage which I knowingly cause.  Processing of this registration is agreement to comply with all of the above and all rules of the Steve Owens Benefit Run.   Signature: _________________________________________________________ If under age 18, signature of Parent or Legal Guardian. Mail registration to: Midwest City Police Dept. Attn: Capt. Bob Cornelison 100 N Midwest Blvd., Midwest City OK 73110   Date____________________________

Text Box: Steve Owens Benefit Run Registration Form November 9, 2008 at Regional Park Rotary Pavilion Midwest City, Ok.   Name_____________________________  Phone # ____________________ Address_______________________________________________________ Vehicle Make___________________ Model ______________ Year_______ Tag #___________  How many  passengers ___________ How did you hear about this event?_______________________________ ____________________________________________________________   T-shirts are $15.00 each or $10.00 each w/each entry fee.  Please add $1.00 more for 2X, 3X and $2.00 more for 4X. Size_____                           Qty_____                            Total $_____ Size_____                           Qty_____                            Total $_____ Size_____                           Qty_____                            Total $_____ Size_____                           Qty_____                            Total $_____ Registration is $25.00 for driver, $15.00 per passenger, and $10.00 per person under 18 years of age. Non-playing passengers are free. Total of registration fees____@ $25 ____@ $15 ____@ $10 =     $________ Total of t-shirts ordered                                                           $________                                                        Total enclosed                     $________    Make checks payable to S.O.B.R. Please ensure you have read, understand,  and signed the Liability Release agreement