Print this Pre-registration Form, fill it out, sign it, and mail it with your check to our club secretary before April 3rd and you will be eligible to win one of two $50 cash awards at the show !!!
Virginia Classic Cruisers
14th Annual Open Car Show
April 10th, 2010
Pre-registration Form
Name ____________________________________________________________
Address __________________________________________________________
City _______________________________State_________ Zip______________
Telephone ______________________________ Distance Driven_____________
Make________________________Model__________________Year__________
Club Affiliation_______________________________email__________________
Make Checks Payable to: Virginia Classic Cruisers, Inc.
Mail Check and Registration Form To:
Cindy Jackson (VCC Secretary)
11906 Carters Valley Ct.
Chesterfield,Va. 23838
Phone 804-739-5558
Participants: $20.00 if pre-registered before April 3, 2010 /
$25.00 Day of Show / Vendors $30.00
Event Held on: April 10, 2010 (9:00am-4:00pm)
at Southside Nazarene Church, 6851 Courthouse Rd.
(near intersection of Route 288 & Courthouse Rd)
Chesterfield County, Va.
Liability Clause
In consideration of the acceptance of the right to participate, the Virginia Classic Cruisers Car Club, its individual members, sponsors, and/or other organizations by execution of this form, will not be held responsible for injury, judgements, and/or damage to personal and/or private property during the day of this event. This will include injury or loss of property to guests, club members, businesses located on the premises, and each of the show sponsors. It is also noted, that it is the responsibility of each person to present themselves in a safe and courteous manner. Parents will be held responsible for the behavior and actions of their children.NO ALCOHOLIC BEVERAGES OR INDIVIDUAL MUSIC WILL BE ALLOWED DURING THE EVENT. A disk jockey will be furnished by the club. A club representative will be located at the announcement box to answer any questions that you may have.
Signature_________________________________________________Date____/____/____
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