Registration

Cloquet Classic Car Daze
C/O Harvey Benko
120 14th St.
Cloquet, MN  55720

Name: Address: City: State: Zip: Phone: Car Description:
Event		Fee	Quantity	Subtotal
All Weekend Events includes campling and meal tickets for 2 adults and 2 children		$25.00	Qty 0 1 2 3 4 5 6 7 8 9	$
Extra Meal Tickets (Sat dinner & Sun breakfast)	Adults	$10.00	Qty 0 1 2 3 4 5 6 7 8 9	$
	Children	$10.00	Qty 0 1 2 3 4 5 6 7 8 9	$
Car Show only Saturday Entry Fee		$5.00	Qty 0 1 2 3 4 5 6 7 8 9	$
Saturday Night Events Only (Competitions)	BurnOut	$20.00	Qty 0 1 2 3 4 5 6 7 8 9	$
	Flame Throwing	$20.00	Qty 0 1 2 3 4 5 6 7 8 9	$
	Muffler Rapping	$20.00	Qty 0 1 2 3 4 5 6 7 8 9	$
	Hydraulics	$20.00	Qty 0 1 2 3 4 5 6 7 8 9	$
	Total Registration Fee:			$

* Fee for participation in only the Saturday night events (rather than the all weekend fee that includes all Friday and Saturday events). Fee is per car.

LIABILITY AGREEMENT: In consideration of the acceptance of the right to participate in the Cloquet Classic Car Daze, entrants, participants and spectators by the execution of this form, release, discharge committe members, agents, for unknown damages, injuries, losses, causes of action, judgments, and/or claims from and cause whatsoever that may be suffered by entrant, participant and spectators to his or her own property or person. Further, each entrant, through the signing and submittal of this registration form and liability agreement, expressly agrees to indemnify and hold harmless all of the foregoing entities, firms, persons and/or entities of and from any and all liability occasioned or resulting from the conduct of entrant or any participant assisting, accompanying or cooperating with the entrant. Further, entrant agrees that he or she has the authority to agree to all of the foregoing terms on behalf of his or her spouse. Entrant further agrees that all of the terms set forth herein shall be binding as to his or her minor children who may be accompanying entrant during the event to which this registration is attributable.

DECISIONS OF ALL CLOQUET CLASSIC CAR DAZE COMMITTEE MEMBERS ARE FINAL!

Signature:	_____________________________________________________
Date:	____________________