2016 Lone Wolf Cruisers Classic Car Show
Registration Form

When: Sunday, September 25, 2016 starting at 8:00 a.m.
Where: Sam's Club, Route 106 (Sheep Davis Rd.), Concord, NH
Registration: $10.00 before Aug. 30, $15.00 day of show

Make checks payable to "Lone Wolf Cruisers."
Mail this registration form and check to:
Lone Wolf Cruisers
P.O. Box 543
Epsom, NH 03234

Name: _________________________    Make: ______________

Address ________________________    Model: _____________

City, State: ______________________    Year: ______________

Zip Code: _______________________    Car Class: _____________ (see table)

Phone: _________________________

Also read and sign the following waiver:

Waiver of Liability

In consideration of and to permit my participation by showing my vehicle in the Lone Wolf Cruisers Car Show to be held on the grounds of Sam's Club, Concord,NH on September 25, 2016, I hereby acknowledge and accept the risk of possible personal injury and possible damage to my vehicle caused by my participation in the car show. I hereby agree to indemnify and hold harmless Sam's Club or Walmart or the Lone Wolf Cruisers Car Club, its administration, and members, and waive claims for any and all damage that I and my vehicle may sustain while participating in the car show.

I acknowledge that I have read and do understand this waiver and release of liability and I am signing it voluntarily.

Participant's signature: _____________________________________

Table of Car Classes