Lake Almanor Recreation and Parks District with Lake Almanor Street Rodders present

28th Street Rod Extravaganza

September 5-6, 2014

THIS EVENT IS OPEN TO ANY YEAR CAR, TRUCK, OR MOTORCYCLE

$30.00 EARLY BIRD ENTRY FEE SPECIAL

First 100 cars receive goody bag

Friday, 9/5 - 5PM – Registration, Cruise downtown Chester, and no host dinner at the Lake Almanor Elks Lodge

Saturday, 9/6 – 7AM – Gates open, 9AM show starts, 10AM Judging begins followed by poker run, poker walk, and horseshoe tournament.

AWARDS: Best of Show chosen by Almanor Recreation and Park District

People’s Choice chosen by show participants

Merchant Awards chosen by Lake Almanor Basin Area Merchants

Longest Distance traveled chosen by Lake Almanor Street Rodders (must be driven)

Name: ______

Mailing Address: ______

City: ______State: ______Zip Code: ______

Telephone: ______Email: ______

Year: ____ Make: ______Model: ______Car Club:______

Pre-ordered T-Shirts ONLY - $15.00 each. T-shirts must be pre-ordered NO LATER THAN 8/1/2014

Please write in the number of T-shirts you would like to order on the line next to the size you prefer:

_____ S _____ Med _____ LG _____ XLG _____ XXL _____ 3XL

All entries MUST BE received at the ARPD office no later than August 1, 2014, to receive the Early Bird Pre-Registration Discount. Entry forms received after that date or during the Sept. 5-6, 2014 registration sessions WILL NOT be eligible for the discount. The on-site regular entry fee will be $35.00.

# _____ of T-Shirts x $15.00 = ______

Pre-registration (Rec’d by 8/1/14) $30.00= ______

On-Site Registration $35.00= ______

TOTAL AMOUNT TO REMIT: ______

In consideration for being permitted by the Almanor Recreation and Park District to participate in the annual Street Rod Extravaganza event, I hereby waive, release and discharge any and all claims for damages or personal injury, death or property damage which I may have or which may hereafter accrue to me, as a result of said activity. This release is intended to discharge in advance, the Almanor Recreation and Park District (its officers, employees and agents) from any and all liability arising out of or connected in anyway with my participation in said activity, even though the liability may arise out of negligence or carelessness on the part of the persons or entities mentioned above. It is understood that this activity involves an element of risk and danger of accidents and knowing these risks I hereby assume those risks. It is further agreed that this waiver, release and assumption of risk is to be binding on my heirs and assigns. I agree to indemnify and hold the above persons or entities free and harmless from any loss, liability, damage, and cost or expense which they may incur as the result of my death or any injury or property damage that I may sustain while participating in said activity.

1. I have carefully read this agreement, waiver and release and fully understand its contents.

2. I am aware that this is a release of liability and a contract between myself and the Almanor Recreation and Park District and I knowingly sign of my own free will.

Signature: ______Date: ______

More information at www.streetrodextravaganza.com

Mail registration form and checks payable to: Almanor Recreation and Park District

PO Box 325, Chester, CA. 96020

For information call: (530) 902-2934 or email