Cape Cod Classics Car Club

2008 Blast from the Past Registration Form

Name: ______________________________________________________________________
Mailing Address: ______________________________________________________________
City: _______________________________________ State: ________ Zip: ______________
Phone : _________________________________________________
E-mail : _________________________________________________

Vehicle
Year : ___________ Make : ___________________ Model : _____________________

Club Affiliation : ____________________________________________
Vehicle Class : ________   Your class decision is final, no changes will be made at the show.
$15 pre-registration (form and check must be received by June 25) OR $20 at gate
DO NOT SEND CASH

Indemnity: All entrants, owners and drivers enter and participate in this event at their own risk. Cape Cod Classics Car Club accepts no liability for any loss or damage suffered to any participant by any means, act or omission or through any circumstances and the entrant hereby agrees to indemnity and save harmless, the organizers, sponsors and promoters of this event from all actions, suits, claims, proceedings or demands of loss howsoever arising out of the entrant's participation in this event. State Law Prohibits Alcoholic Beverages & Smoking anywhere on the School (Event) Grounds. By completing this entry form, I understand, acknowledge and accept all conditions of entry.

Please Sign Below:

Signature __________________________________________ Date: ________________

Mail check and completed form to:    Cape Cod Classics
P.O. Box 1349
South Dennis, MA 02660