Please print, fill out by hand and mail with a check or M/O

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Registration.

Name________________________________________________________

Addreess_____________________________________________________

City__________________ Prov./State__________ Postal Code________

Phone# (___)__________ Email_________________________

Make of Vehicle____________________ Model______________ Year__________

Modified___ Stock___

Club Affiliation___________________

I hereby release The Saltspring Cruisers, School District 64 and all other sponsors and organizers from any and all liabilitry for injury and damage in connection with this event. I further certify that all vehicles being shown or owned by myself at the show are covered by vehicle liability insurance.

Participants Signature_________________________________

Clubs / Groups Pre-Register to reserve spots.

Forms to be mailed to Canada Day Show n Shine, 160 Douglas Rd, Salt Spring Island BC. V8K 2J2 Before June 20th Checks payable to Saltspring Cruisers

For online registration.Email the above information and eTransfer $20 to webmaster@saltspringcruisers,com