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Vehicle Pre-Registration

IMPORTANT - This Vehicle Entry Form Must Be Completed IN FULL By The Vehicle Owner.

NAME *
NAME
PHONE *
PHONE
ARE YOU AFFILIATED WITH A CAR CLUB? *
If YES, please state your Club affiliation below.
VEHICLE INFORMATION
PAINT EFFECTS *
If Modified, please describe below.
BODY ALTERATIONS *
If Modified, please describe below.
INTERIOR COLOUR *
If Modified, please describe below.
ENGINE SIZE (ci) *
If Modified, please describe below.
Select the appropiate YEAR that best describes your vehicle.
Select the appropiate CLASS that best describes your vehicle.
RELEASE
In consideration of the acceptance of the right to participate, participants by execution of this entry form (by clicking SUBMIT), release and discharge Bigtimers Car Club, Jack’s Public House, the producer of this event, and all persons who are connected with the management of this event from any and all known or unknown damages, injuries, losses, judgments and/or claims from any cause whatsoever that may be suffered by any participant to his or her person or property. Further, each participant expressly agrees to indemnify all of the foregoing entities, firms, persons and bodies, of and from any and all liability, including attorneys fees, occasioned or resulting from the conduct of participants or any person assisting or cooperating with participant and under the direction and control of the participant. Management will do all in it’s power to ensure a successful event. We ask that you do the same. By my signature hereto, I acknowledge I have read and agree to all rules and conditions of the First Annual Bigtimers CC Auto Show as put forth on this form, including additional rules as promulgated by the event producers and I agree to observe all rules and decisions of the event management.