Vehicle Registration | Heartland Cruise

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Vehicle Registration Form

Please take a moment to fill out the form.

First Name

Last Name

Email

Address

Phone

Car Club:

Miles One Way:

Number of Vehcles to Register

Year of Vehicle 1

Make of Vehicle 1

Model of Vehicle 1

Please indcate the appropriate class for Vehicle 1

Year of Vehicle 2

Make of Vehicle 2

Model of Vehicle 2

Please indcate the appropriate class for Vehicle 2

Year of Vehicle 3

Make of Vehicle 3

Model of Vehicle 3

Please indcate the appropriate class for Vehicle 3

Select an option

Pre-Entry Before June 1st

Pre-Entry June 2nd-14th

Pre-Entry Shirt Size (Before June 1st)

Select an item ($)

1 Vehicle Registration - $30

2 Vehicle Registrations - $60

3 Vehicle Registrations - $90

CRUISE ONLY- 1 Vehicle - $30

1 Vehicle Registration + 1 Event T-Shirt - $45

1 Vehicle Registration + 1 Hat - $55

1 Vehicle Registration + 1 Event T-shirt + 1 Hat - $70

2 Vehicle Registrations + 1 Event T-shirt - $75

2 Vehicle Registrations + 1 Hat - $85

CRUISE ONLY- 2 Vehicles - $60

Comments

I agree to the terms & conditions. I undersand that there is no refund for no show or weather. I understand that I may be asked to provide proof of tag and insurance to cruise. Liability: In consideration of the right to participate entrants, participants and spectators by executio of this fom, release and discharge the Weatherford Rotary Club, City of Weatherford, and the state of Oklahoma and their officers, directors, employees, agents, represenatives, and servants and anyone else connected with management of presentation of the event and from any and all known or unknown damages, injuries, losses, judgements, and or claim from any causes, person or property. Further, each entant expressly agrees to indemnify all the foregoing entries, firms, persons and bodies of and from any and all liability occasioned or resulting from the conduct of entrants or any participant assisting of cooperating with entrant and under direction or cntrol of the entrant.

Thanks for submitting!

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