2002

WEST COAST FOUR WHEEL DRIVE CLUB, INC./USMC TOYS FOR TOTS PROGRAM

TOY DRIVE PRE-REGISTRATION

 

NAME:

DATE:  

 

ADDRESS:

PHONE:

LICENSE:

CITY:

STATE:

ZIP:

VEHICLE MAKE:

YEAR:

 

CLUB AFFILIATION:

 

 

 

      THE ABOVE NAMED PARTICIPANT WILL PROVIDE SEATS AND SEAT BELTS FOR EACH OCCUPANT IN THE STREET LEGAL, LICENSED AND INSURED VEHICLES DESCRIBED ABOVE.  ALL SPEED AND TRAFFIC LAWS WILL BE OBSERVED.

        I UNDERSTAND THAT ANY DECORATIONS THAT I MAY PUT ON MY VEHICLE WILL NOT IMPAIR VISIBILITY, OR IN ANY OTHER WAY RENDER SAID VEHICLE UNSAFE TO OPERATE, AND ANY TRAFFIC CITATIONS INCURRED DURING THE EVENT ARE MY SOLE RESPONSIBILITY.

 

SIGNED:

DATE:

 

RELEASE AND INDEMNIFICATION AGREEMENT

 

      FOR GOOD AND VALUABLE CONSIDERATION, THE RECEIPT OF WHICH IS HEREBY ACKNOWLEDGED, I DO HEREBY RELEASE, ACQUIT AND FOREVER DISCHARGE THE CALIFORNIA ASSOCIATION OF 4WD CLUBS, UNITED STATES MARINE CORPS, AND WEST COAST FOUR WHEEL DRIVE CLUB, INC., TOGETHER WITH ITS AGENTS, VOLUNTEERS, EMPLOYEES, PARTICIPATING MUNICIPALITIES, LANDLORDS AND THEIR AGENTS, SUMMON AND ASSIGNS FROM ANY AND ALL CLAIMS, ACTIONS, COVERS OF ACTION, DEMANDS, DAMAGES, COSTS, EXPENSES AND LOSS OF COMPENSATION WHICH THE UNDERSIGNED NOW HAS OR WHICH MAY HEREAFTER ACCRUE TO HIM ON ACCOUNT OF OR IN ANY WAY GROWING OUT OF ANY AND ALL KNOWN AND UNKNOWN, FORESEEN AND UNFORESEEN BODILY AND PERSONAL INJURIES AND OR PROPERTY DAMAGE AND WHATEVER OTHER CONSEQUENCES THEREOF RESULTING, OR TO RESULT FORM ANY CASUALTY, ACCIDENT OR EVENT RESULTING FROM DIRECTLY OR INDIRECTLY, MY PARTICIPATION IN THE WEST COAST FOUR WHEEL DRIVE CLUB, INC., TOY DRIVE 2002 HELD IN DECEMBER, 2002, AND FURTHER TO HOLD HARMLESS AND INDEMNIFY USMC AND WEST COAST FOUR WHEEL DRIVE CLUB, INC., FROM ANY AND ALL THIRD PARTY CLAIMS, OF WHATEVER NATURE, RISING OR RESULTING FROM SAID WC4WDC/USMC TOY DRIVE ON THIS DATE.

 

 

 

DATE

PARTICIPANT

DATE

PARTICIPANT

TOY DRIVE T-SHIRT AND DASH PLAQUE ORDER FORM

If you would like to purchase a 2002 Toy Drive T-Shirt or Dash Plaque, please complete the order form with Quantity and Size and mail to WC4WDC, P.O. Box 28583, Santa Ana, CA 92799 by November 10, 2002 to be guaranteed a T-shirt and/or Dash Plaque.  Please make checks payable to WC4WDC.

 

 

 

 

 

 

 

 

 

 

 

 

 

Totals

 

T-Shirts

SMALL

 

MEDIUM

 

LARGE

 

XL

 

 

# of T-Shirts x $14 (S, M, L, XL)

=

T-Shirts

XXL

 

XXXL

 

 

 

 

 

 

# of T-Shirts x $15 (XXL, XXXL)

=

Dash Plaque

 

 

 

 

 

 

 

 

# of Dash Plaques x $3

=

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

Total $

=

The default is a large logo on the back and a small pocket logo on the front.

If you would like to have just a large logo on the front, please check here.