Entry Form – Please print, then detach and mail.
Mail entry form to:
“Bridge City Cruisers”, PO Box 791, Valley City ND 58072.
NAME: ___________________________________________ Spouse/Guest ________________________
ADDRESS: ____________________________ CITY/STATE/ZIP: _______________________________
E-MAIL: _________________________________ PHONE: _____________________________________
VEHICLE YEAR: _______ MAKE: ___________________ MODEL:______________________
NDSRA #_____________
Entry Fee: $25.00 if received by May 1, 2008 , $30.00 after May 1, 2006. Additional vehicles by same owner are admitted at no additional charge!
TOTAL AMOUNT ENCLOSED: $ _____________________________
Liability: In consideration of the acceptance of the right to participate, entrants, participants, and spectators by execution of this form, release and discharge Bridge City Cruisers Car Club and its officers, directors, representatives, members, and anyone else connected with the management or presentation of this event of and from any and all damages, injuries, losses, judgments, and/or claims from any cause whatsoever that may be suffered by an entrant or to his or her property, further each entrant expressly agrees to indemnify all the foregoing entities, firms, persons, and bodies of and from any and all liability occasioned or resulting from the conduct of entrants of any participation assisting or cooperating with entrant under the direction of control of entrant.
Signature: ____________________________________________ Date _____________________
Thanks! You will have an information packet waiting for you at the registration desk when you arrive at the show. Motel information is on the back of this form. |
