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PARTICIPATE IN AN AMP SHOW

Full Name *
Address *
City *
State *
Zip Code *
Age *
SS # *
Phone # *
Occupation
Email Address *
E-mail Address: *
City of AMP Event Interested in *
Event Entering *
Vehicle Year
Vehicle Make
Vehicle Model
Vehicle Engine
Driver/Rider Background *
Sponsors
Misc. Info
Digital Signature *
Digital Date *

By signing digitally I recognize and understand my participation in this event is at my own risk. I take full responsibility for my participation. I further release AMP Live Events, associated sponsors, the facility, and all other entities involved from any and all liability associated with my participation.

* Required

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