Keep a copy of this form for your records—Confirmation by E-Mail Only from [email protected]
Name __________________________________________________ Club Affiliations___________________________________
Address ________________________________________________________________________________________________________
City _______________________________________________ State & Zip __________________________________________
Year___________ Model ___________________Convertible_______STOCK ______MODIFIED ____ DISPLAY ONLY______
Telephone _____________________________Email Address ____________________________________________________________
In consideration of and to permit my participation by showing one or more vehicles in the Bambini’s end of summer car show to be held at
Bambini’s Pizzeria 4090 Craig Rd North Las Vegas NV 89032 on Saturday, September 13, 2014, I hereby acknowledge and accept the
Risk of possible personal injury resulting from or caused by my Participation in the Bambini’s end of summer car show, I hereby acknowledge
And affirm my continued willingness and desire to participate. Further, and of my own free consent and volition, and in consideration Of My
Participation in the Bambini’s end of summer car show, I hereby agree to indemnify and hold harmless Bambini’s Pizzeria & Desert Oaks Plaza,
Its administrators and employees, and to waive claims for any and all injuries, causes of action, or Damages that I or my Vehicles may sustain
While participating in the Bambini’s end of summer Car Show &. All photographs taken by the Bambini’s Pizzeria Car Show staff will remain the
Property of the car show and may be used for future advertising. By signing below, I acknowledge that I have read and understood this waiver
And release Of Liability and that I am signing it voluntarily.
ACCEPT CASH ONLY NO CHECKS
Participant’s Signature _____________________________________________________________________ Date ____________________________