TCCS CAR REGISTRATION 2010
Register your car online and pay registration fees conveniently and securely through PayPal, using any credit card. After completing this form, click the displayed links to make payments and to email us a photo(s) of your classic car(s).
*last name
*first name
*address1
address2
*city, state, zip Please select an item.
*telephone
333-123-1234
*email
   
FIRST CAR
*make year
*body type, model

*brief description
(less than 250 letters)

   
SECOND CAR
make year
body type, model
brief description
   
THIRD CAR
make year
body type, model
brief description

LIABILITY RELEASE

The undersigned, desiring to enter the Tiburon Classic Car Show(TCCS), does hereby tender his/her application for registration to this show on June 20, 2009. In consideration of the acceptance by the TCCS coordinating group of this application the undersigned does hereby agree to release the TCCS, the property owner, tenants, and all other participants from any and all liability arising out of theTiburon Classic Car Show.The undersigned also: (1) Hereby releases, waives, discharges, and covenants not to sue the TCCS, sponsors, advertisers, participants, property owners and lessees (Releases) of the premises used to conduct this show. (2) Hereby agrees to indemnify and save and hold harmless the TCCS and coordinating individuals from any loss,liability, damage, or cost they may incur out of the show whether caused by negligence of TCCS personnel or otherwise. (3) Hereby agrees that this Release and Waiver of Liability, Assumption of Riskand Indemnity Agreement extends to all acts by the TCCS or its personnel. If any portion hereof is held to be invalid, the balance of this Agreement shall continue in full force.

Acceptance on terms and conditions stated above, by:

*owner signature
(print name)

 date (mm-dd-yy)
*exhibitor signature
(print name)		 date (mm-dd-yy)
*insurance co.
  *I accept liability release Please check

The sponsoring group reserves the right to reject any auto that does not meet standards of the show coordinating group. All Driver must be 18 years of age or older and must possess a valid Drivers License and current Insurance Certificate.