Car Show Registration
Wearin' O' the Green
Name____________________________________________________
Address__________________________________________________
________________________________________________________
Phone______________________ email________________________
Car Information:
Make_____________________________________
Model______________________
Year________________________
Amount Enclosed_________________________________________
Signature________________________________________________
By signing and submitting
this registration form I hold Chautauqua Cruisers, Inc.; Walton County Shrine
Club; and any or all officers and members of said organizations harmless in the
event of damage, theft or other loss to my vehicle or myself while in
attendance at the above indicated event.