Last Name:
First Name:

Street Address:

City:   State:    Zip:

Phone:   Email Address:

Year:  Make:  Model:

 Color:

Class Entered:

pre 1920 1920 -1929 1930 - 1939 1940 - 1949 1950 - 1959 1960 -1969 1970 - 1979 American Sports Car Foreign Sports Car Hot Rod Land Yacht/Most Elegant Lowrider Motorcycle Muscle Car Orphan Pickup/Commercial/Special Use Pony Car Race Car (track only) Student Domestic Stock Student Domestic Modified Student Foreign Stock Student Foreign Modified  Class ID

NOTES

Special Features or History or any interesting tidbits about your car:


Amount Enclosed: ($20.00 per vehicle if received by Sept. 20th - $25.00 thereafter.
STUDENT pre-entry fee is $15, (ID required day of show.)
Separate registration form per vehicle, please. )

Method of Payment: Choose One Check Cash Money Order  (Payable to GHHS Cheer)

The undersigned agrees to indemnify and hold harmless GHHS Cheerleaders and L.A.P.D., and L.A.U.S.D or any other volunteers affiliated with, and against all liability of loss or damages that the participant and/or family, relatives or guest may sustain or incur as a result of claims, cost, or judgements arising from the participants involvement in the Drive Alive Car Show. Participants acknowledge he/she/they have liability insurance required by the State of Calif. Dept. of Motor Vehicles - CVC160220 section (a-d).

Signature: _______________________________________________