Name: ________________________________________________________________
Mailing Address ________________________________________________________
City, State, Zip __________________________________________________________
Phone _(_______)_______________________ Vehicle Year ____________________
Make ________________________________ Model ___________________________
Body Style______________________________ Color _________________________
Stock _____ Modified _____ Display Only
_____ (check one) - modified requires at least 5 modifications)
I, the undersigned, do
hereby agree to release from liability, the Carlsbad Automotive Restoration
Society, Inc., and its
sponsors/associates,
for any damage, injury or stolen property resulting from this event.
Signed ______________________________________
Date _____________
_ _ _ _ _ _ _ _ _ _ _ _ _ _ _
_ _ _ _ (cut here) _ _ _ _ _ _ _ _ _ _ _ _
_ _ _ _ _ _ _ _ _ _ _ _
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