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Hug-A-Truck
Hosted by Pequawket Kids Association
Saturday, July 17, 2010 (Rain Date: Sunday, July 18)
10:00 A.M. - 2:00 P.M.
Fryeburg Fairgrounds

Contact info:

Jeanette Almy, Principal, Snow School: 207-935-2536 (w), 802-999-6830 (cell)
Rhonda Poliquin : Principal, New Suncook School: 207-925-6711 (w)
Mark Schrader: Principal, Brownfield-Denmark School: 207-452-2360 (w)
Laura Riggs-Mitchell, PKA Director: 207-935-1900 (w) or lriggsmitchell@msad72.k12.me.us

• Vehicles will need to arrive at 9:00 A.M. and will be able to depart shortly after 2:00 P.M.
• Someone will need to stay with the vehicle throughout the event.
• Owners will need to be prepared to have children ask questions, touch, blow horns, and climb into their vehicles (unless otherwise noted by you.)
• To the extent possible vehicles should be 'safety inspected' (sharp edges, cleaned, a step-up to climb into the cab, etc).
• Owners understand that PKA is not responsible for damage to vehicles or for personal injury.

Please complete this form and return to your contact person or email to lriggsmitchell@msad72.k12.me.us.

Owner's name: _______________________________________________________________________

Company name: _______________________________________________________________________

Address: _______________________________________________________________________

_______________________________________________________________________

Phone/contact #: _______________________________________________________________________

Cell #: _______________________________________________________________________

Email address: _______________________________________________________________________

Person staying with the vehicle: _____________________________________________________________

(if different from the owner)

Contact #: ______________________________________________________________

Type of vehicle(s) you're bringing: ___________________________________________________________

___________________________________________________________

______________________________________________

Please feel free to use this as an opportunity to advertise your business!

(Please Print Your Name)____________________________

(Signature)_________________________

(Date)____________________