City____________________________ St._________ Zip________________
Car info: Year_________ Make_____________Model____________
Number in party____________Under 16_______________
Early Entry Fee (postmarked before June 11th 2021)---------- $40.
Late (after June 11th 2021) including weekend of Rod Run. $45.
Entry fee includes, entry and admission for two people to all events, children under 16 free. Extra dance and meal tickets available to guest of entered participants.
Meal--$10 Limit 2 Dance--$10 Sunday only--$20
Legal Guardian (if under 18)________________________________
Liability: The above signature on this entry form indicates the entrant agrees to observe rules and decisions of management (Valley Rods Unlimited) and in no way holds the sponsoring club or City of Ord, Ne. responsible for any losses or damages during this event. It also permits the sponsoring club and/or other interested persons the use of their names and pictures of their cars for publicity, advertising, and or magazine publications.