NORTHWEST BRITISH CLASSICS
19th ANNUAL BRITBULL
Sunday Aug 9th 2015
MILLWOOD CITY PARK
Preregistration Form……..DEADLINE FOR SHIRT ORDERS IS JULY 17th, 2015
PARTICIPANT NAME(S) _____________________________________________________
STREET _________________________________________ CITY _____________________
STATE __________________ ZIP ___________ PHONE ( ) ______________________
E-Mail________________________________ Club Affiliation __________________
MAKE ____________________________________________ YEAR ____________________
MODEL ___________________________________________ COLOR ___________________
SPECIAL FEATURES _______________________________________________ CLASS ____
ENTRY FEE ………………………………………………………………………………………………………………………………………… $15.00
T-Shirt __SM, __M, __Lg __XL, __2XL, __3XL $18.00 Each $_______
Members Only 20th Anniversary Grill Badge .….$25.00 Each $_______
Total Paid $_______
Please make out your check to: NW British Classics
RELEASE OF LIABILITY
In consideration of the acceptance of the right to participate, entrants, participants and spectators by execution of this form, release and discharge Northwest British Classics and their officers, directors, members, representatives and anyone else connected with management or presentation of this car show of and from any and all known or unknown damages, injuries, losses judgments and/or claims from any cause whatsoever that may be suffered by any entrant to his/her person or property. Further, each entrant expressly agrees to indemnify all of the forgoing entities, clubs, firms, persons and bodies of and from any and all liability occasioned or resulting from the conduct of entrants or any participant assisting or cooperating with entrant under the direction or control of entrant.
SIGNATURE OF PARTICIPANT __________________________________________________
(Parent/guardian if
under 18 years of age)_________________________________
Please mail this signed form with your check to:
Greg Taylor
14908 E. Bella Vista Dr.
Veradale, WA 99037