Route 66 Hearse & Hot Rod Cruisers
"Route 66 Halloween Hearse & Hot Rod Graveyard Tour"
Name of Cruisers (Limit of two adults per registration fee, families are encouraged to attend
articipate):_________________________________________________________________________________________________________________________
Address:__________________________________________________________
City, State, Zip: _____________________________________________________
E-mail address: _____________________________________________________
Home Phone (incl. area code): ___________________________________________
Cell Phone (incl. area code): ____________________________________________
Year, Make, Model and Color of Vehicle: __________________________________________
Vehicle Class for Car Show: ______________________________________
_________________________________________________________________
Car Club Affiliation (if any): ____________________________________________
_________________________________________________________________
I (we) will
Liability Disclaimer: In consideration of the right to participate, entrants, participants and spectators, by signing this form, release, hold harmless and discharge the Route 66 Hearse & Hot Rod Cruisers, City of Elk City, OK, State of Oklahoma, and their officers, directors, employees, agents, respresentatives, and anyone else connected with this event of and from any and all known and unknown damages, injuries, losses, judgements and or claim from any cause. Participants, entrants and spectators agree that they are all assuming the risks involved.
Vehicles must carry a minimum of liability insurance and be legal for use on highways.
Signature: __________________________________________________
Please print this form and enclose $20.00 for members and $25.00 non-members
for Cruise
Route 66 Hearse & Hot Rod Cruisers
Spring Onto Route 66 Hearse & Hot Rod Cruise
c/o Frank Redmond
For more information, please contact at the above address
bravenet.com