Pre-Registration

Pre-Registration Car Show Form

Pre-Registration Car Show Form Entry by filling in this form any time before deadline. If you have any questions please let us know.
Name:*
Address:*
Phone:*
-
E-mail:*
Please tell us Make of Car?
Color of Car?*
Year Built?*
Which topic best describes your car?*
CLUB AFFILIATION:
How many miles did you drive?*
How did you hear about this car show?*
Comments:
Required Waiver of Liability and Release _____________________________________________________________________________________________ Required Waiver of Liability and Release; On behalf of the entire group participating in the 2016 Farragut Lions Club Charity Car Show, I assume all risk of bodily injury, property damage, and personal damage that may occur by participating in the Farragut Lions Club Charity Car Show and, for myself/ourselves, their heirs, executors, and administrators, do hereby forever waive and release any and all claims against and agree to hold harmless the LCIF and Farragut Lions Club, and the Farragut Lions Club Charity Car Show its committee, sponsors and volunteers, and the City of Knoxville with their respective officers, employees, agents, representatives, volunteers, successors or assigns any kind from any and all claims which may be made for any cause whatsoever arising as a result of participation. Further, I hereby consent to allow my picture or likeness to appear in any official document, news release, sponsor advertisement and/or television and radio coverage of the events within or as part of the Farragut Lions Charity Car Show, and grant permission to use and/or publish photographic portraits, or pictures, video tape or film of me in which I may be included in whole, part, composite or reproductions thereof in black and white and/or color or otherwise made through any media now known, for art, advertising trade or any other similar lawful purposes whatsoever, including the publicity and promotion of this event itself, excluding commercial use of or by marketing sponsors. *

For more Information Contact:

Farragut Lions Club

6625 Sedgefield Dr.

Knoxville, TN 37923

Phone: 865-679-4779

* Indicates required fields

 

Thank You to our Sponsors!