TIBURON CLASSIC CAR SHOW 2009 EUROPEAN - AMERICAN CLASSIC & VINTAGE AUTOS The Tiburon Classic Car Show (TCCS) is REGISTRATION & RELEASE FORM coordinated by a group of car enthusiasts. It is a non-judging event offering the opportunity for Last Name:_______________ First Name:_______ owners to show their special auto treasures to an Street Address:_____________________________ admiring public. We welcome your participation! City:________________State:______ Zip:_______ Phone: ( ) _______-___________ Email:____________________________________ DATE: Saturday, June 20, 2009 Auto Make:______________________Year______ Body Type/Model:__________________________ Insurance Co:______________________________ TIME: 11:00AM-4:00PM, You will be notified on a check-in time. LIABILITY RELEASE The undersigned, desiring to enter the Tiburon Classic Car Show PLACE: Paradise Dr. at Shoreline (TCCS), does hereby tender his/her application for registration to this Park in Tiburon show on June 20, 2009. In consideration of the acceptance by the TCCS coordinating group of this application the undersigned does FEE: 40/Car – Advance hereby agree to release the TCCS, the property owner, tenants, and $50/Car – After May 1 all other participants from any and all liability arising out of the Tiburon Classic Car Show. $20 – each Addl. Car The undersigned also: (1) Hereby releases, waives, discharges, and (Make check payable to covenants not to sue the TCCS, sponsors, advertisers, participants, Tiburon Classic Car Show) 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 Registration Instructions agrees that this Release and Waiver of Liability, Assumption of Risk and Indemnity Agreement extends to all acts by the TCCS or its personnel. If any portion hereof is held to be invalid, the balance of 1.To enter, fill out this form completely, read this Agreement shall continue in full force. Release and sign. Acceptance on terms and conditions stated above, by: 2. Because of limited space, this show is limited to just 100 cars, Pre 1970. Owner: Date: 3. Each vehicle being shown must have a separate Registration and Release Form with payment, must run on its own power, must have a current Exhibitor: Date: auto registration and insurance. 4. Return Registration & Release, with check The sponsoring group reserves the right to reject any auto that does not meet standards of the show coordinating group. All Driver must payable to: Tiburon Classic Car Show, 1550 be 18 years of age or older and must possess a valid Drivers License Tiburon Blvd. # 326, Tiburon, CA 94920 before and current Insurance Certificate. June 15 or register on-line before June 18 at Check out our website at tiburonclassiccarshow.org. 5. On-line, you will also find information tiburonclassiccarshow.org for more information and feel free to make copies of this about our exciting charity raffle for a form for your friends. Mini Cooper convertible and our celebration dinner with awards and an interesting speaker.