Name *

First Name

Last Name

Phone

(###)

###

####

Reservation *

Rods and Roses reserves the right to restrict participants to acceptable behavior during any and all activities. If for any reason participant or vehicle in appearance or conduct are deemed objectionable, the participant will be subject to removal.

I agree.

Liability *

In consideration of the acceptance of participant to Rods and Roses, by execution of this entry form, I hereby release and discharge Rods and Roses, its agents, employees or affiliates, of and from any and all know and unknown damages, injuries, losses, judgements and/or claims from any cause whatsoever that may be suffered by any member to this person or property. Further, each applicant expressly agrees to idemnify all of the foregoing entities, firms, persons and bodies of and from any and all liability occasioned or resulting with the applicant and under the direction or control of the applicant.

I agree.

Photograph Release *

I/We agree to allow photographs of my/our car(s) and me/me taken at the event, to be used for advertising, marketing, and general promotional purposes at any time in the future. I/We fully release such photographs, or rights to such photographs, free of charge, to the event organizers. The photographs may be used, or edited for use, without further need of consent from me or compensation to me.

I agree.

I do not agree.