Member name ______________________________________ Guest Name _________________________________ Address _________________________________________________________________________________________ _________________________________________________________________________________________ Chapter: ____________ Miles to Motel: ____________________________ EMAIL ADDRESS: _________________________________________________________________________ Phone Number: _____________________________________________________________________________ ________________________________________________________________________________________________ Pre registration …. Postmarked and received by APRIL 1, 2010… Adults $80.00 Children (7-17) $50 Children under 7: FREE Late registrations and onsite registrations add $15.00 to the above registration prices. Number of Adults: ______________ Number of Children (7-17): _____________ Children under 7: ________ Will you be staying over Sunday Night? YES ___________ NO ______________ Total Amount enclosed for registration: ___________________ Please read and sign the release before sending. The undersigned does hereby release and forever discharge the Blue Knights TN III, any of its members, the Blue Knight International, and the Valley View Lodge & Cabins Convention Center, their heirs, assigns, executors, and administrators from all actions, causes of actions, claims and demands whatsoever, whether or not well founded in fact or in law, and from all suits, debts, dues, sums of money, account reckonings, notes or bonds, bills, specialties, covenants, contracts, controversies, agreements, promises, trespasses, damages, judgments, executions, claims and demands whatsoever , at law or in equity that undersigned ever had, now has, or that his heirs, executors, or administrators hereafter may have against the party hereby released by reason of any matter, cause, or thing whatsoever up to and including the date of the date of this release. I, the undersigned, acknowledge that it is the specific intent and purpose of this instrument to release and discharge any and all claims and causes of action of any kind or nature whatsoever, whether known or unknown and whether specifically mentioned or not, which may exist or might be claimed to exist at, prior to, or beyond the date of this instrument, and the undersigned specifically waves any claim or demand has been, through oversight or error or intentionally omitted from this release. Signature of Participant: _____________________________________________________DATE______________ Signature of attending family member/or guest: ___________________________________DATE______________ Send your completed registrations to: BLUE KNIGHTS TN III PIGS IN THE SMOKIES 2010 P.O. BOX 12068 KNOXVILLE, TN 37912