Cruisin' Brea - Vehicle Registration

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Please enclose ENTRY FEE and a PHOTO per vehicle entered!

ENTRY # ____________________

___June 2 – Truck, SUV & Recreational Vehicle Show

___June 9 – Sport Compact & PT Cruiser Show

___June 16 – Classic Car & Sports Car Show - FATHER’S DAY SPECIAL

___June 23 – Ford, Chevy & Mopar Show

___June 30 – Hot Rod, Harley & Woodie Show

(Note: If you enter one of the first 4 shows, you will receive FREE entry into the June 30th – Hot Rod & Harley Show with the same vehicle (event t-shirt & goodie bag not included). One form must be filled out for each vehicle entered!)

Year ______ Make ____________________  Model ____________________  Color _________

Owner’s Name _____________________________  Phone (____) ________________________

Address ___________________________________  Email Address: ______________________

City _______________________________________ State ________ Zip __________________

Club Affiliation: ________________________________________________________________

Participant agrees to conduct all activities upon the premises of event and surrounding streets so as not to endanger any person lawfully thereon, and to indemnify and hold harmless FlyingDeuces.com, Brea Downtown Owners Association., Ash Street Cottages Homeowners Assn., Help For Brain Injured Children, Brea Redevelopment Agency, Cruisin Brea sponsors, vendors, host clubs and the City of Brea against any and all claims for loss, injury or damages to person, vehicle or property including claims of family/friends of car show participant, arising out of its activities, and further to indemnify fully against any and all claims of participant, participant’s family/friends and associated against FlyingDeuces.com, Brea Downtown Owners Assn., Ash Street Cottages Homeowners Assn., Help For Brain Injured Children, Brea Redevelopment Agency and the City of Brea or anyone else connected with the premises/event. Participant gives permission to use any photographs, video or information obtained prior to and at the event for publication, advertising or video filming.

Signature ___________________________ Date _________________________

PLEASE PRINT FORM, FILL IT OUT AND MAIL WITH CHECK TO :

FlyingDeuces.com - Cruisin’ Brea - Box 307 - Brea, CA. 92822-0307