2018 Pre-Registration Car, Truck, Bike & Farm Tractor Show Form

Mtn. Lake Fire Company

2018 Pre-Registration Car, Truck, Bike & Farm Tractor Show Form

Pre-Registration deadline: July 15th 2018

Pre-Registration Fee- $15.00: Day of Show Registration- $25.00

Pre- Registration Benefits:

Guaranteed parking spots for pre-registered vehicles arriving prior to 8 am on

Sunday July 29th

Pre-Registration participate plaque

Rain Date August 5th No registration fee refunds if both dates rain out (908)475-4400

PLEASE PRINT

Name:______

Mailing Address :______

City:______State:______Zip:______

Email:______Phone:( In Case of Rain Date)______

Type of Vehicle: Antique, Classic, Muscle, Import, Custom, Modern, Race Car, Rat Rod, Farm Tractor, Bobber,Antique, Modern Cycle, Antique , Fire Truck, Etc. See CATEGORIES SHEET for class

______Make, Model:______

Year: ______Color______Modified: Yes or No

Club Name:______

Liability Waiver: With this right to participate, I hereby release Mt. Lake Fire Co. & Township of Liberty , Sponsors and all others who may be concerned , from any liability of injury or losses to myself and/or family during the event on July 29th 2018 / rain date Aug 5th . I also consent to the free use of my name, my likeness and images for any purpose whatsoever.

Signature of Entrant:______Date: ______Make Checks payable to : Mountain Lake Fire Company (MLFC)(A $25.00 fee will be added to all returned checks) Forms must be received on or before July 15th 2018:Mtn. Lake Fire Co. 99 Tamarack Rd. Belvidere, NJ 07823

Mtn. Lake Fire Company

2018 Registration Car, Truck, Bike & Farm Tractor Show Form

Registration Fee: Day of Show July 29th or Rain Date August 5th $25.00

PLEASE PRINT

Name:______

Mail Address:______

City______State:______Zip:______

Email:______Phone: (In Case of Rain Date) ______

Type of Vehicle: ______

Type of Farm Tractor 1967 and earlier______

Make / Model______

Year:______Color______Modified: Yes or NO

Club Name:______

Liability Waiver: With this right to participate, I hereby release Mtn. Lake Fire Co. & Township of Liberty, Sponsors and all others who may be concerned, from any liability of injury or losses to myself if and / or family during the event on July 29th 2018 / rain date Aug 5th. I also consent tp the free use of my name, my likeness and images for any purpose whatsoever.

Signature of Entrant:______Date:______

Make Checks payable to: Mountain Lake Fire Company ( MLFC)

( $25.00 fee will be added to all returned checks)