Held on Sunday, Sept 1st, 10:00a.m. to 2:00p.m. In front of 4-H Building
Registration will begin at 9:00a.m. at the main enterance of the 4-H Building
Award Presentation will be at 1:00p.m.
Registration Form
Note: a $10.00 registration fee MUST accompany this form. We will accept pre-registration until August 15
Registration day of show will be $15.00
Name_______________________________________________________Phone#__________________
Address_____________________________________________________________________________
City_____________________________________________State______________Zipcode___________
Make of Vehicle__________________________ Year____________ Cylinders_____________________
Model___________________________________Body Style___________________________________
Note: if entering more than one vehicle, please use additional form
I accept and assume liability for any injury or loss to me or my property, agents or employees at anytime and from any cause on the premises of the show. I expressly release the management from any liability for such loss or injury and agree to provide and pay my own insurance.
Signature: ____________________________________________________________________________
