Show and Shine Car Show Entry Form


Please fill out and submit the form below to enter the Show and Shine Car Show

Name*:
Day Phone*:
Address*:
City*:
State*:
Zip*:
Email:
Car Info:Year
Make
Model
Color
Club Affiliations:
Clicking "Submit" on this form means that you have read and agree to the liability release below:
Liability - I am in agreement with this entry that entrants, participants, spectators, by executions of this entry form, releases and discharges the Jefferson Area Chamber of Commerce, it's members, it's sponsors, the City of Jefferson,
and anyone connected with the management of the Show and Shine Car Show is not responsible for any damages, injuries, losses, judgements, and claims whatsoever.

* Required Field