Smokin Hot Auto & Bike Show

Official Entry Form

Name*

First NameLast Name

Phone Number*

Email Address*

example@example.com

Address

Street Address

Street Address Line 2

CityState / Province

Postal / Zip Code

Auto and/or Bike Description

	Make	Model	Year
Auto
Bike

Important Event Information

Smokin Hot Auto & Bike Show begins at 9 am with registration. There will be door prizes, & good bags given. Awards ceremony will begin around 2 pm or earlier.

Liability release

I (we) have read, understand and will abide by the rules of the Polk County Chamber of Commerce (Chamber) as defined herein. I (we) attest that the information provided on this application form is true and correct and I (we) absolve and hold harmless the Chamber and/or any individual(s) associated with these entities from any responsibility, personal liability, loss or claims of loss and/or damages arising out of, or in connection with Polk County Chamber of Commerce’s Cook-Off event aka “Smoke in the Pines BBQ Cook-Off.” I (we) also understand that I (we) are responsible for and will provide all necessary permits, insurance and certificates required in accordance with the terms and conditions of this event and this liability release.

Entrants and participants, by excuting of this form, release and discharge the Livingston - Polk County Chamber of Commerce and anyone else connected with the show from any and all known causes what so every that may be suffered by entrant or participant to his person or property.

By click "YES", I (we) agree with all that is written in this registration form to participate in the Smokin Hot Auto & Bike Show at the Smoke in the Pines BBQ Cook-Off. I (we) understand the Liability Release.*

Yes

Registration*

Auto/Bike

$30.00 Quantity

Additional Auto/Bike

$10.00 Quantity

Day of the Show

$40.00 Quantity

Total

$0.00

Payment Methods

Debit or Credit Card

Please click one of the PayPal options to complete payment and submit the form.