Name:      

Phone:           E-Mail:   

Address:   

City:               State:         Zip:   

Club Affiliation:    if any.

Vehicle Make:            Year:         Model:        Color:   

Additional Comments:

   It is agreed that all persons who enter for exhibition and competition purposes in the show will abide by the rules set forth by the show management.  It is also agreed that neither the show producer nor the owners of the grounds in which the show is held shall be responsible for personal injury, damage or theft of any part of my entry or display. (No entry accepted without this box checked as an acknowledgement of the above terms)