Vehicle Entry Fees: Pre-register by Saturday, December 5th, 2015.
Registration also available at gate the day of show. $20/per vehicle.
Make check or money order payable to: High Rollers Car Club and mail to:
High Rollers Car Club, Attn: Ed Cullins,
PO Box 26, Riverview, FL. 33578

Participant's Name:


Mailing Address:


City:

State:

Zip:


Email Address:


Phone:

Cellular:



Year:

Make:

Model:


Color(s) of Vehicle:


Car Club Affiliation:



VEHICLE CLASSIFICATION:

All vehicles will be separated by year, make and model. Award consideration will be determined by the judges. There will be 21 different awards based upon style of the car’s build, level of finish and year of manufacture.

LIABILITY RELEASE:

In consideration of the acceptance of participation to the Christmas Wish Car and Truck Show, by the execution of this form, I hereby release and discharge the event sponsors, event hosts, the City of Seffner, Gator Ford, and anyone else connected with the management of, conduct of and from any and all known and unknown damages, injuries, losses, judgements and/or claims from any causes whatsoever, that may be suffered by an member, to his person or property. Further, each applicant expressly agrees to indemnify all of the forgoing entities, firms, persons and bodies of and from any and all cooperation with the applicant and under the direction and control of the applicant. By entering this show I assure everyone connected with my entry has at least minimum liability insurance and has current registration. I will not bring, serve, or consume any alcoholic beverages on Gator Ford property that are not sold by registered vendors at the event. I will be liable for any damages either myself, my guests, or my relatives may incur on any other property than my own.

ELECTRONIC SIGNATURE AGREEMENT:

By selecting the “I Agree” checkbox, you are signing this Vehicle Entry Form electronically. You agree your electronic signature is the legal equivalent of your manual signature on this Vehilce Entry Form. By selecting “I Agree” you consent to be legally bound by the terms, conditions and rules of the event.