Car Show Application, JULY 4th 2021, 37th Annual Culver Lake Fest

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Submit this application online (preferred), OR print it out and hand it in (traditional method). Should you have any questions, contact John Darnell by text 574 933 2833.

DETAILS:

Sponsored by O'Reilly Auto Parts

Sunday at 9:00 AM
Culver Town Park on beautiful Lake Maxinkuckee

$15.00 Entry Fee

DOOR PRIZES!!

Awards presented at 2:00 PM for:
 People’s Choice
 Miss Maxinkuckee’s Choice
 TBD

Email *

Name: *

Address, City, State, Zip: *

Phone Number: *

Model: *

Year: *

The entry fee is $15. Please select your payment method: *

I am paying with a debit/credit card or via PayPal (memo: Car Show) using the link: https://www.paypal.com/cgi-bin/webscr?cmd=_s-xclick&hosted_button_id=B9LSYPBD6EC4S&source=url

I am paying with a check made out to Culver Lake Fest (memo: Car Show) on the premises.

I am paying with cash on the premises.

Damages & claims: All contestants will abide by the rules and all state and local laws. I hereby waive and release from all claims for injury and/or damage incurred in connection with this event. I agree with these terms and conditions by signing below. To sign this, please type your full name and today's date: *

A copy of your responses will be emailed to the address you provided.

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