Greenwood-Phinney

Chamber of Commerce

Greenwood Classic Car & Rod Show Saturday, June 24, 2006

Name: ___________________________________________________________

Address: __________________________________________________________

City, State, Zip ___________________________________________________________________

Phone: ___________________________________ Cell: __________________________________

Email: ______________________________________________________________________________

Make: _____________________ Model. ______________________ year. _________

Color. _______________

REGISTRATION: Please include registration fee (if applicable) along with the completed application form.

o                                Early Bird (Before May 31): $20

o                                June 1·23: $25

o                                Day of: $30

o                                Sponsor: no charge

AWARDS: To be eligible for a prize, you must check the appropriate category. Awards will be given for the following categories
(Please check only one box):

 

   Classic Car: ___      Street Rod: ___           Custom: ___   Motorcycle: ___           NOT JUDGED: ___

 

LOAD IN: Information will be sent via email in June. If you do not provide an email address, please include a self-addressed, stamped envelope with your application so that we can send you the information by mail.

 

On behalf of the entire group participating in the Greenwood Classic Car and Rod Show, I assume all risk of bodily injury, property damage, and personal damage that may occur by participating in the show and I, for myself/ourselves, their heirs, executors, and administrators do hereby forever waive and release any and all claims against and agree to hold harmless the Greenwood-Phinney Chamber of Commerce, The Greenwood Classic Car and Rod Show, its committee and sponsors, the City of Seattle and Bold Hat Productions with their respective officers, volunteers, employees, agents, representatives, successors or assigns any kind from any and all claims which may be made for any cause whatsoever arising as a result of or in connection with the participation in the herein mentioned event.

 

_______________________________________________              __________________________
Signature                                                                                
Date

 

Please send applications to:
3503 Phinney Ave N                Email: philly@boldhatproductions.com
Seattle, WA 98103                   Fax: 206.374.8271

Questions? Call 206.633.0422