EV Poker Run
September 14, 2018
Name
*
First Name
Last Name
Email
*
example@example.com
Phone Number
-
Area Code
Phone Number
Address
Street Address
Street Address Line 2
City
State / Province
Postal / Zip Code
Electric Vehicle Info
*
Year, Make & Model
Electric Utility Provider
Cooperative
OG&E
PSO
Other
Byselecting "YES," I hereby acknowledge and agree that I understand thenature of the EV Poker(“Event”); my participation is voluntary and that thereare certain inherent risks and dangers associated with the Event; and that, Iknowingly and voluntarily, accept, assume responsibility for, each of the risksand dangers that could arise out of or occur during the Event; and I agree to holdharmless WFEC and/or organizers of this Event in case of any accident orinjury.
*
YES
NO
Register
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