Registration Form
 
 
 
 
Name:________________________________________     Email:______________________________________________     
  
Address:______________________________________     City/State:_____________________________    Zip_________
  
Phone:________________________________________
              
Car(s):_____________________________________________________________________________________________
 
Cost:  $12 Pre-Registration;  $15 Day Of Show Registration (All Eligible for Door Prizes)  Pre-Registration must be by 6-29-07.
 
Shirt Size(s): ______S   _______M   ______L   ______XL   ______XXL  (Shirts are $10.00 each pre-reg, $15.00 day of show)
 
Number of:                                                                                                          TOTAL:
Registered cars: ______ (x $12 per car Pre-Reg; $15 per car Day of Show)        $_____
  
T-Shirts:______ (x $10.00 each shirt pre-registered; $15 Day of Show)              $_____
  
Extra Dash Plaque:______ (x$2.00 each)                                                                  $_____
    
Total:                                                                                                                               $_____
 
Make all checks payable to:     Auburn Productions, Inc.
 
Print and fill out form, mail to:
                                                          Auburn Productions, Inc.
                                                          Chris Moore
                                                          PO Box 968
                                                          Auburn, IN 46706
                                               
Auburn Productions, Inc & Auburn Inn are not responsible for accidents, injuries, or losses.
Liability Release
I agree to the following:
 
1.  I agree to insure my vehicle and personal property against loss and liability, assuring the risk of all damages or injury to hold harmless all sponsors of the Auburn Productions, Inc. Car Show for anything which may result in theft, damage or destruction of the above named vehicle, my personal property or injury as a consequence of this event.  I hereby release Auburn Productions, Inc. from any and all claims.  It is understood and agreed that no guarantee or assurance of security and/or protection of property has been made and such is the sole responsibility of myself as the applicant.
 
2.  It is my responsibility to keep my area clean of debris.  That I shall not show any exhibition of driving while arriving, during or departing the show area - this includes burnouts, spinning of tires and anything else that may cause damage to the surface of the grounds or bodily injury or death to an individual or cause any danger to any individual in the show area.  I understand that I will be held responsible for any and all repair needed due to the negligence of such above mentioned.
 
3.  I also relinquish any and all rights to photographs taken in connection with this event.
 
4.  I understand that there are no refunds for cancellations or no shows and I have read, understand and agree to the above.

 

Signature:______________________________________________Date: _____________