Fill in the form below, print it out (Ctrl + P), and mail the completed form and registration fee to

Cloquet Classic Car Daze
P.O. Box 246
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		$40.00	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 morning		FREE	Qty 0 1 2 3 4 5 6 7 8 9	--
Saturday Night Events Only*		$20.00	Qty 0 1 2 3 4 5 6 7 8 9	$
Competitions:	Burnout	included		--
	Flame Throwing	included		--
	Muffler/Pipe Rapping	included		--
	Total Registration Fee:			$

* Fee for participation in only the Saturday night events (rather than the all weekend fee that includes all Thursday, Friday, Saturday, and Sunday 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, or unknown damages, injuries, losses, causes of action, judgments, and/or claims from and cause whatsoever that may be suffered by entrant, participatn and spectator 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 coopertating 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 and/or guest 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!