Name _______________________________________Phone # (_____)______________ Age______
(If under 18)
Address ________________________________City___________________ State_______ Zip_______
Car Entry Description:
1st — Entry: Year ________ Make _________________________ Model _____________________
2nd — Entry: Year ________ Make _________________________ Model _____________________
3rd — Entry: Year ________ Make _________________________ Model _____________________
Registration Fees:
____ First Car with 2 Saturday Lunch Tickets - $30
____ First Car with No Lunch Tickets - $20
____ Each Additional Entry with No Lunch Tickets - $15
¶ Top 15 ¶ Top Gun (Rodder’s Choice) ¶ People’s Choice
ü Registration & Community Meal: Friday, June 18— 5:30 to 7:30 p.m. – Phillips County Courthouse Lawn
(1 Block South of Highway US 385 & CO 6 Intersection)
ü Registration: Saturday, June 19 — 8:00 to 11: 00 a.m. — Phillips County Courthouse Lawn
=Golden Plains Motel 800-643-0451 =The Burge Motel 970-854-2261
=Joy’s Cozy Cottage & RV Parking 970-854-3308
=Campgrounds / RV Parking / Motor Homes: Phillips County Fairgrounds 970-854-3778
My
signature below hereby waives and releases the Dandelion Daze Committee,
Holyoke, Chamber and
anyone else connected with the management or presentation of the Dandelion Daze
Car Show, from any
liability for any injuries, illness, damages, or judgments that may occur during
this event. Management
reserves the right to remove any entrant or his/her vehicle if appearance or
conduct, is deemed objectionable.
_____________________________________ _______________________________________
TOTAL AMOUNT ENCLOSED: $_________________ (Fees are Non-Refundable)
Mail Registration and Entry Fee(s) to:
Holyoke Chamber of Commerce > P.O. Box 134 > Holyoke, CO 80734