Release Form for Cars in Louisiana

							                                                         PRESENT




                                    May 7, 2011
                              from 10:00 AM 4:00 PM
          Registration 8:00 AM - 10:00 AM. All cars must be registered and parked by 10:00 AM

 Festival Plaza, 101 Crocket St, Shreveport LA
                    up to $500 prize for BEST IN SHOW!*
                                            IN CONJUNCTION WITH THE
                        CINCO DE MAYO FIESTA 2011
   LIVE MUSIC, LIVE DANCE GROUPS, CHILDREN S GAMES, FOOD BOOTHS and MORE
   Trophies for Best: In Show, Ford, Chevy, Mopar, Import, Truck, Low Rider Car, Low Rider Truck, Custom
   Classic, Hot Rod, Luxury, Display, Engine, Paint, Interior and Long Distance. Plus trophies for People s
                    Choice & Top 30. Judged by "Wicked Dreamz CC" Louisiana Chapter
                               *(Prize based on 15% of collected registration fees)
               CONTACT: GUILLERMO "WILLIE" ORTIZ, 318-734-7062, email: glortizc@gmail.com
                               Visit our website; http://www.louisianalulac.org/fiesta
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      Preregistration HIGHLY RECOMMENDED - Preregister your car to ensure a spot for your car
                 Registration $30 fee (Mailed preregistration must arrive by April 22, 2011)
        Registration 8:00 AM - 10:00 AM. All cars must be registered and parked by 10:00 AM
                              Make checks payable to: Cinco de Mayo, Inc.,
    Mail to: Cinco de Mayo, Inc. ATTN: 2011 Car Show, P.O. Box 5042, Shreveport LA 71171-5042

NAME:
ADDRESS:                                                       CITY:
STATE:                              ZIP:                       EMAIL:
PHONE NUMBER (                 )                   YR, MAKE & MODEL
Only cars that will be judged will be allowed on the Festival Plaza grounds. Parking for car trailers is available but limited.
First come first served. All cars must have insurance. Liability Agreement: In consideration of the acceptance of the
right to participate, entrants, participants, and spectators, by execution of this entry form, remise, release, and forever
discharge the City of Shreveport, LA, the Cinco de Mayo, Inc., any and all associated sponsors and all its officers, agents,
and employees, acting officially or otherwise, from any and all claims, demands, actions, or causes of action, on account
of injuries or losses suffered by an entrant to his person or property which may occur from participation in the car show
or 2011 Cinco De Mayo Fiesta Festival.
SIGNATURE:_________________________________________________________________