any questions contact:
(269) 624 7254
74253 Cr 652
Lawton Mi. 49065
All proceeds go to the Adam Shafer Memorial Scholarship Fund
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Note: I agree that this entry form will release Lawton High School, Village of Lawton, the
Adam Shafer Memorial Scholarship committiee, and all sponsors from any liability for injury or damage to me, members of my party and /or vehicles while particpating in this event.
I also give my permission to use any pictures of my entry, or myself for future use.