|Hold Harmless Agreement|
|In consideration of the acceptance of the right to participate, by execution of this entry form, I hereby
release and discharge Performance Classic Auto Show and all sponsors of Performance Classic Auto Show and their officers, employees,
directors, agents and representatives and anyone else connected with the management, promotion or presentation of Performance Classic Auto Show from any
and all known or unknown damages, injuries or losses, judgements and/or claims from any cause that may be suffered by any entrant or participant
to his or her person or property. Further, each entrant expressly agrees to indemnify all the foregoing entities, firms, persons and bodies from
any and all liability occasioning or resulting from the conduct of any entrant, participants or spectators assisting or cooperating with
entrant under the direction or control of entrant. Further, I agree that any photos or videos of myself or my property as a result of this event
may be used promotionally.|
| ** Please check this box to indicate that you have
read and agree to the terms above.|
I would like to make an additional donation to Impact60 and The Arthritis Foundation in the amount of :|
Other amount (please specify):
Method of payment: ** CREDIT CARD CHECK OR MONEY ORDER
To pay securely online with your credit card, you will be directed to a payment page after you submit this form.
To pay by check or money order, please make checks payable to Performance Chrysler Jeep Dodge Ram Delaware and indicate clearly the name
of the registrant. Mail to:
Performance Chrysler Jeep Dodge Ram Delaware
Attn: Car Show
2815 Stratford Road
Delaware, OH 43015
You will get a summary of your registration fees, your Car Show ticket fees and your donation after you click SUBMIT.
Please note that your registration is not complete until payment is received. Registration fee is based on date of payment, not date of registration.
|When you’ve completed the form, press SUBMIT|