Car Show Registration Form - Wheels For Wellness printable pdf download

Car Show

Registration Form

Name_____________________________________________ Phone__________________________

Address____________________________________________________________________________

City_________________________________State_____________Zip Code_____________________

____

__________________________________________

T-Shirt Size_________

Club Affiliation

E-mail Address_______________________________________________________________________

Year___________Make____________________Model_______________________Color__________

Wheels for Wellness Benefit Car Show will take place rain or shine, unless inclement

weather causes cancellation. There is no rain date and no refunds will be issued should

it rain, your entry fee will be considered a donation to Wheels for Wellness, Inc., a

501(c)(3) charitable non-profit organization.

Gate opens to the registrants at 7:00am and entrant must be parked by 9:30am

or parking space will be released to be filled. Show starts at 10:00am and ends

at approximately 3:00pm at the conclusion of the awards ceremony. Entrants shall not

remove their vehicle prior to the conclusion of the awards ceremony without permission

from a WFW show official.

I hereby assume full and complete responsibility for any personal injury to

myself or others in my party, or for any loss or damage to my automobile(s),

equipment, and personal property whether by accident, vandalism, acts of God, or

any other cause which may occur during my participation in this event, and

hereby indemnify, release and hold harmless from any and all claims the entity

known as the Wheels for Wellness, Inc., its directors, officers, and volunteers. By

signing I agree that I have read this document in its entirety.

Entrant Signature:_________________________________________________________________ Date:________________

Pre-Registration Fee: $35.00 which includes a Goody bag and T-Shirt

Pre-Registration Closes 8/31/2017

Please sign waiver, and mail with registration fee to: Wheels for Wellness, Inc.

(All fees are considered donations and are tax deductible.)

Car Show Registration Form - Wheels For Wellness