Entry Form: Pre-Registration
$15.00 (postmarked by
Name___________________________________________________________________
Address_________________________________________________________________
Year______Make__________________Stock___ Modified___ Phone_____________
Liability: In consideration of
the acceptance of the right to participate, entrants, participants and
spectators, by execution of the entry form, release and discharge Route 66
Cruisers Car Club and the City of Claremore from any and all known damages,
injuries, losses, judgments and claims from any cause whatsoever that may be
suffered by an entrant to his person or property.
Signature________________________________________________Date___________