injured police officer fund car show” - las vegas car clubs · 2011. 1. 29. · no glass...

For office use only: Entry #______

"Injured Police Officer Fund Car Show”

March 20, 2011, Sunday At Sunset Park

2601 East Sunset Road Las Vegas, NV 89120 Open to All Years, Makes and Models of Classic Vehicles

Cars, Trucks & Special Interest Vehicles including * Vintage * Originals * Classics * Hot Rods * Muscle Cars *

Street Rods * Competition Vehicles * Custom Vehicles *

Entry Includes * IPOF Travel Mug * Top 60+ Trophies & Awards plus Dignitary Trophies & Awards * Sheriff’s Pick * * Ladies Choice Trophy * Participant’s Pick Trophy *Peoples Choice Trophies & Awards * Club Participation Trophies * Best of Show *

* Vendors * Food & Beverage Concessions * * Proceeds Benefit the Injured Police Officers’ Fund *

Last Name: ________________________________________ First Name: ___________________________

Address____________________________________________ Telephone: ( _____ ) ___________________

City_______________________________________________ State____________ Zip ________________

Email address for confirmation ______________________________________________________________

Vehicle Information: Year__________ Make _____________________ Model_____________________

Vehicle Entry – All Years, Types, Makes & Models $30.00 …..…….…….. ……..... $ __________

IPOF Travel cup included with registration…additional cups $12.00……_____ X $12…..…. S __________ TOTAL …….. $ __________

Liability Release: In consideration of the acceptance of the right to participate, entrants, participants, and spectators, by execution of this entry form, does hereby release and discharge the County of Clark Parks and recreation Department, The Injured Police Officer’s Fund, Las Vegas Cruisin’ Association, Inc. and members thereof, and their officers, directors, employees, agents, representatives and servants, and anyone else connected with management or presentation or sponsors of “Injured Police Officers’ Fund Car Show” of and from all known and unknown damages, injuries, losses, judgments, and/or claims from any cause whatsoever that may be suffered by any entrant to his person or property. Further, each entrant expressly agrees to indemnify all of the forgoing entities, firms, persons and bodies of and from any and all liability occasioned or resulting from the conduct of entrants of any participant assisting or cooperating with the entrant under direction or control of entrant. I agree to allow pictures of myself and/or my vehicle to be used in the publicity and advertising of this event. I certify that my vehicle is

properly insured to meet legal liability requirements in the State of Nevada. NO ALCOHOL PERMITTED

NO GLASS CONTAINERS, ONCE PARKED, VEHICLES MAY NOT EXIT WITHOUT A WALKING ESCORT.

Total Amount Enclosed: $___________ Signature of Entrant: __________________________________________

Make Check IPOF Car Show Information Payable to: 9330 W. Lake Mead Ste 130 WWW.HELPLASVEGASCOPS.COM

Las Vegas, NV 89134 WWW.LASVEGASCARSHOWS.COM (702) 380-2840/(702) 643-0000 Email: info@helplasvegascops.com

ENTRANCE OFF OF EASTERN SOUTH OF SUNSET