BNJHMS Antique & Custom Car Show Entry Form

Checks should be made payable to the "Battleship New Jersey Historical Museum Society".
Name Age

Street Address

City

State

ZIP

Vehicle Make

Model

Year

Club Affiliation
Phone Number T-shirt size

Enclosed find $ for Vehicle and people. I release the Battleship New Jersey Historical Museum Society and the Township of Piscataway for any injuries, accidents, damage, or theft which may occur to myself or my vehicle at this event. I will be responsible for all persons entering this event with me. I will adhere to all rules and regulations set forth by the Show Committee while at this event. If I am under 21, a parent of legal guardian has also signed this form.

Parent or Guardian________________________Signature__________________________
reg____________date_____

Print out and sign the form, then mail it to:

Claire Hardgrove
22 Franko Avenue
Piscataway, NJ 08854


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