Nutley Rotary 5th Annual Classic Car Show
Cost: $20 Early registration Fee / $25 Day of Show
Benefiting: Van Riper House and Nutley Rotary Scholarship Fund
To register your vehicle by mail please complete the information below:
Owners Name ______________________________________________________
Address: __________________________________________________________
__________________________________________________________
Phone#: _________________________ Email: ____________________________
Car – Truck Make/ Model: _____________________________________________
Motorcycle Make /Model: ______________________________________________
Plate # _________________ Year: __________________
Class: Classic_______ Custom __________ Stock ________ Modified _______
By execution of this form, participants and their quest release and discharge the sponsoring
Organization, officers, agents, representatives and anyone else associated with the management or presentation of the car show of and from any causes whatsoever that may be suffered by any entrant to his person or property. In addition, all entrants must insure their vehicles against loss, damage and liability and to provide proof of such insurance upon request.