49th Annual Fathers Day Rod Run

Name___________________________________________________________

Spouse/Guest_________________________________________________

Address________________________________________________________

City____________________________ St._________ Zip________________

E-mail address________________________________________________

Phone_________________________________________________________

Car info: Year_________ Make_____________Model____________

Club Affiliation_______________________________________________

Number in party____________

Entry Fee ------Full registration all three days-$50. Exta tickets $25 per person.

Full entry fee includes: Entry and admission for up to 2 people to all events all three days. 

 Sunday only-$30 

Sunday only includes: The show and shine and meal for up to 2 people. Extra meal tickets $15 per person.

Games only on Saturday $20

Entrants Signature___________________________________________

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.