print and mail this form with fee to:
Eunice Little Mardi Gras
P.O. Box 1106
Eunice, La. 70535

Lil' Mardi Gras
Truck/TRAILER Registration Form
EUNICE, LOUISIANA
SUNDAY, FEBRUARY 3, 2008
Pre - Registration - no fee
Day of Registration - no fee

       Name of driver:

Driver must be AT LEAST 18 Years Old!
       Date of birth: Age:
       Vehicle Owner: Phone:
       City: State: Zip:

       Check ALL that apply:     Truck:   Trailer:

       Copy of Driver’s License attached:
       Copy of Proof of Insurance attached:

         

I understand that I CANNOT consume any alcoholic beverages while I am driving a vehicle in the Children’s Lil’ Mardi Gras Run.


        
                     Signature                                                            Date

We Run - RAIN OR SHINE
* NO REFUNDS *