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: (      ) _______-___________
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
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.

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