Old Highway 56 Car Show

April 26, 2008

Gardner, Kansas

Registration 8:00 a.m. to Noon

Wheatridge Middle School

318 East Washington Street

Gardner, Kansas  66030

Name: __________________________________________________________

Address: ________________________________________________________

Vehicle year: __________  Make: ____________  Model: _________________

Phone: ___________________  email: ________________________________

Shirt size:   S     M    L    XL     XXL

Hold harmless agreement:  By signing below, Entrant and accompanying guests hereby relinquish all claims that may arrise against Old Highway 56 Promotions, Inc. and its event sponsors during attendance at this event.

Signature of Entrant(s): ____________________________________________

Please make checks payable to: Old 56 Car Show

Mail to: Old 56 Car Show, P.O. Box 402, Gardner, KS  66030

Robert Cook (913) 856-8015   •    Del Sawyer (913) 244-6150

John Shepherd (913) 856-7171   •   old56@gardnerchamber.com