SUMMER PLACE CAR SHOW OFFICIAL ENTRY FORM

 

Pre-Entry ends May 10, 2010

Must be postmarked by May 10, 2010

Pre-Entry Fee:  $20.00 (includes free t-shirt)

Day of Show Fee:  $20.00 (does not include t-shirt)

 

Mail to:  Summer Place Car Show                          Make checks payable to:

                4190 North State Rd. 19              “A Home for Every Child Foundation”

                Sharpsville, Indiana  46068

 

Name__________________________________Email__________________________________

 

Address_____________________________________City______________________________

 

State_____________________Zip__________Telephone_______________________________

 

Make of Vehicle____________________________Year__________Model________________

 

Shirt Size (circle one):      Small          Medium           Large          XLarge          XXLarge

 

Signature Required_____________________________________________________________

                                           By signing here you agree to the information at the bottom of this form.

 

"____________________________________________________________________________________

 

PLEASE READ AND SIGN

Complete and mail with $20.00, check or money order to:  SUMMER PLACE CAR SHOW, 4190 North State Rd. 19, Sharpsville, Indiana 46068.  A confirmation of entry and official number will be furnished by return mail.

ENTRY AND ADVERTISING RELEASE:  In consideration of this entry, car owner and guests agree to permit SUMMER PLACE the use of their names and pictures of their car for publicity, advertising and commercial purposes (including newspaper, magazines, radio, and television) before, during and after the event and do hereby relinquish any rights whatsoever to any photos taken in connection with the event and give permission to publish or sell or otherwise dispose of said photographs.

All publicity and advertising rights are reserved by SUMMER PLACE.

LIABILITY:  In consideration of the acceptance of the right to participate, entrants, participants, spectators, by execution of this form, release and discharge SUMMER PLACE, and their officers, directors, agents, representatives, and servants, and anyone else connected with management or presentation of the show of and from any and all known damages, injuries, losses, judgments, and/or claims from any cause whatsoever that may be suffered by any entrant to his person or property.  Further, each entrant expressly agrees to indemnify all the foregoing entries, firms, persons, and bodies of  and from any and all liability occasioned or resulted from the conduct of entrants or any participant assisting or cooperating with entrant under the directors or control of entrant.

WE RESERVE THE RIGHT TO REFUSE ANY ENTRY.

 

By signing the top part of this form says that you have read and agreed to the above information.