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

---------------------------------------------------------------------------------------------------

Saltspring Canada Day Show & Shine

Saturday July 1st 2017

10am to 3pm Gates open at 8am

Hydro Field : Rainbow Rd. and Jackson Ave. Ganges BC

Pre Registration $10 at the Gate $20

Saltspring Antique and Classic Motor Club

Registration.

Name________________________________________________________

Addreess_____________________________________________________

City__________________ Prov./State__________ Postal Code________

Phone# (___)__________ Email_________________________

Make of Vehicle____________________ Model______________ Year__________

Modified___ Stock___

Club Affiliation___________________

I hereby release the Saltspring Antique and Classic Motor Club, 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 can be picked up and/or dropped off at JB Group Saltspring Auto parts or picked up at any of the JB Goup Autoparts Stores and mailed to Canada Day Show n Shine, 111 Graham Dr., Salt Spring Island BC. V8K 1J5 Before June 20th 2016. Checks payable to Saltspring Antique and Classic Motor Club.

http://www.saltspringcarclub.com/