44th Annual Fathers Day Rod Run

Registration Form


Name___________________________________________________________


Spouse/Guest_________________________________________________


Address________________________________________________________


City____________________________ St._________ Zip________________


E-mail address________________________________________________


Phone____________________


Car info: Year_________ Make_____________Model____________


Club Affiliation_______________________________________________


Number in party____________Under 16_______________

Early Entry Fee(postmarked before June 7th 2019) $40

Late (after June 6th 2019) 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


Entrants Signature___________________________________________


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.