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Vehicle Registration Form
NOTE: Please submit a separate entry for EACH VEHICLE you are entering.
About You
Name
(Required)
First
Last
Address
(Required)
Street Address
City
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Armed Forces Americas
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State
ZIP Code
Phone
(Required)
Email
(Required)
Your Vehicle
Vehicle Year
(Required)
Enter last 2 digits of year. ie 1949 would be 49.
Vehicle Make
(Required)
Vehicle Model
(Required)
Vehicle Color
(Required)
Shirt Size
(Required)
choose your shirt size...
S
M
L
XL
XXL
XXXL
One t-shirt included with each entry. Additional shirts will be available for purchase at event.
Number of Adults Attending
(Required)
Number of Children Attending
(Required)
Registration Details
Check if New Address
Check if you have registered before (NOT your 1st time)
Event Registration Fee
Entry BEFORE JULY 1 ($25)
Total To Be Charged To Your Card
Credit Card
Card Details
Cardholder Name
Liability Waiver
(Required)
I am 18 years of age and have read and agree with the statement below.
Liability: Entrants and participants, by execution of this entry form, release and discharge the State of Indiana, City of Evansville, County of Vanderburgh, E’ville Iron Street Rods, Ltd., and the Vanderburgh County 4-H Center, their officers, directors, employees, agents, representatives, servants, and anyone else connected with the presentation of the E’ville Iron Street Rods, Ltd.Frog Follies from any and all known or unknown damages, injuries, losses, judgments and/or claims from any causes whatsoever that may be suffered by any entrant or participant to his person or property.
Your Signature
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