Scenic City Car Show Registration Form
Pre-Entries Must Be Received By August 15, 2017 To Be Eligible For the $50 Cash Drawing

Send Pre-Registration & $15.00 to:
(Registration Day of the Show will be $20.00)

Scenic City Car Show
P.O. Box 322
Iowa Falls, Iowa 50126
(641) 373-1202 or (641) 648-3362

 

Name: __________________________________________________________
(PLEASE PRINT)

Address: ________________________________________________________

City: ____________________________________ State: _______ Zip: _______

E-mail address: ___________________________________________________

Club Affiliation: ___________________________________________________

Year of Vehicle: ________ Make: _____________________________________

Vehicle Class: ____________________________________________________

All Entries Must Be Licensed!

I understand that the SCENIC CITY CRUISERS, IOWA FALLS LIONS CLUB, and their employees, agents, representatives, servants, officials, sponsors, advertisers, or the City of Iowa Falls and adjacent grounds are not responsible for any loss or injury to me or my property, agents or employees at anytime, and from any cause on the premises of the above events and any additional events.  I expressly release the above parties from any liability for such loss or injury and agree to provide and pay for my own insurance.  I relinquish any rights whatsoever to any photos taken in connection with the above events and any additional events, and give permission for use of said photographs in any manner whatsoever to above parties.  I also agree to abide by all rules and regulations set forth by above parties.

Signature (required): ___________________________________ Date: _______


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