Check in 8 to 10 AM at Orange County Harley Davidson 8677 Research Drive Irvine, CA 92618

Ends at San Juan Capistrano Car Show San Juan Capistrano Sports Park 25925 Camino Del Avion San Juan Capistrano, CA 92675

Entry Donation Includes 3 Best–of-Show Trophies. Judging at 1 PM. Free Car Show Entry featuring Hot Rods, Muscle Cars, Classics,

Cruisers, Imports, Trucks and Motorcycles Receive $5 at-show lunch ticket Best /Worst Poker Hand $150 Opportunity Drawings Vendor, Exhibits & Displays

Your Participation Directly Supports

Boy & Girl Scouts Camp Pendleton Marine Families Capistrano Boys & Girls Club CARE — Capistrano Animal Rescue Effort College Scholarships CREER Corazon House Build Polio Plus English as a Second Language Family Assistance Ministries Great Opportunities Polio Plus RYLA — Rotary Youth Leadership Awards Santa’s Visit for KIds Shea Center for Therapeutic Riding Students in L.A. Marathon Thanksgiving Meals for Families in Need

Register Online at: www.SJCRotary.org and Click on POKER RUN-REGISTER

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Saturday, February 4, 2017 The Day before Super Bowl Sunday

San Juan Capistrano Rotary Club

9TH ANNUAL DR. JOE CORTESE MEMORIAL

DRIVE-IN BIKE SHOW

&

9th Annual Dr. Joe Cortese Memorial

Drive-In Bike Show & Poker Run

Saturday, February 4, 2017

RIDER

Special Event and Liability Release Agreement

The undersigned agree (s) to indemnify and hold harmless Capistrano Animal Rescue Effort (CARE), CARE Members and Volunteers, Rotary Club of San Juan Capistrano (Rotary), Rotary Members and Volunteers, Orange County Harley Davidson and its Em-ployees and Volunteers, City of San Juan Capistrano, the State of California, and Dr. Joe Cortese Memorial Poker Run Sponsors, their Employees and Agents against all liability of loss or damage that the participant and/or family, relatives, participant’s guests may sustain, or incur as a result of claims, demands, cost of judgments arising from partici-pant’s involvement in the Dr. Joe Cortese Memorial Motorcycle Poker Run. Participant(s) acknowledge he/she/they have liability insurance as required by the State of California Department of Motor Vehicles CVC 16200 Section (a-d).

Rider’s Release

Signature Date

Passenger’s Release

Signature Date

Register Online at SJCRotary.org/carshow & Click on Poker Run Register, or Clip and Mail this Registration form to:

Rotary Poker Run P.O. Box 684 San Juan Capistrano, CA 92693 Phone (714) 815-0394

Veterans & Active Duty $25

Rider Pre-Registered by Jan. 20, 2017 $30

Passenger Pre-Registered by Jan. 20, 2017 $20

Rider Registered after Jan. 20, 2017, or at Gate $35

Passenger Registered after Jan. 20, or at Gate $25

Sorry, No Refunds Total $ ________

Rain date is February 11, 2017

I cannot participate this year but would like to donate

$25 $50 $100 Other $ __________

Method of Payment

My Check #

Payable to Rotary Club of San Juan Capistrano

Visa MasterCard Exp. Date

Credit Card # CVC

Name (Print)

Signature

PASSENGER

Name (Please Print)

Address

City / Sate / Zip

E-mail

Phone

Name (Please Print

Address

City/State/Zip

E-mail

Phone

Thanks to our sponsors