2009 Car Show Brochure and Application

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Shared by: WidnesVikings
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Classic Car and Truck Shows 3rd Wednesday of the Month, 6:00-9:00pm: June 17 July 15 Aug. 19 Sept. 16 Free Admission! Classic Car and Truck Shows Entry Form I am showing my vehicle in the following category: Muscle Car Truck Corvette/Classic/Antique Name Address City Phone Cell Phone Email State Zip Modified Original Restored Browse among 75 classic cars at the Village Green (located between Skokie Village Hall and the Skokie Public Library on Oakton Street) Car show starts at 6:00pm, food vendors and vehicle registration start at 5:00pm. Featuring Food, Fun and Family Entertainment! Thanks to our generous sponsors: Evanston Subaru in Skokie First American Bank Duxler Complete Auto Care Gerber Auto Collision and Glass AllstateAgency —Ray LaMantia International Classics Village Inn Pizzeria Sports Bar & Grill Midwest Can Company Sign-A-Rama 5207 Inc. - Website Design Print X-press Skokie Vehicle Information (one form for each vehicle) Make Model Year (1984 and older) Color License No. Release and Hold Harmless Agreement: As a participant in the Downtown Skokie Classic Car Show, I do hereby fully release and discharge Skokie Park District, Village of Skokie, Skokie Chamber of Commerce and the Independent Merchants of Downtown Skokie, its elected officials, employees and agents, from any and all liability, loss, damage, cost or expense which may accrue to me on account of my participation in this show. I further agree to indemnify, hold harmless, and defend Skokie Park District, Village of Skokie, Skokie Chamber of Commerce and the Independent Merchants of Downtown Skokie, its elected officials, officers, employees and agents from any and all claims resulting from injuries, damages and losses sustained by me and arising out of, connected with, or in any way associated with the activities of the show including transportation, operation or display of my vehicle at the Downtown Skokie Car Shows. I have read and fully understand this Release and Hold Harmless Agreement and any show details provided to me. It is mutually understood the facsimile registration document shall substitute for and have the same legal effect as the original form. Car Truck Presented by: Signature Date Car Show Entry Form on Reverse Help Us Grow the Downtown Skokie Car Shows! www.cruisethebacklot.com Return this form to: Skokie Park District - Devonshire Cultural Center Attn: Caryn Watson 4400 Greenwood Ave. Office Use Only Skokie, IL 60077 Questions? Call 847-929-7410 No.:

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