5 !% 3( 1( 28 IN SPRINGFIELD !' *' 5 5 5
7 handicap contrivances, motorized or non-motorized, will be allowed. The decision of the '/ $,-*+ -++ 8 $4*+ 7 7 7 All vehicles at any/all NSRAevents, must be licensed, insured and registered for the event. No motorized or non-motorized contrivances which do not comply with these requirements shall be ridden or driven on the grounds. Only recognized, single occupant 7 Complete and mail with correct amount to National Street Rod Association, 4030 Park / 8418& (8 %9- & / ,24$5 *:-24 2 84:50 *4) 2 $,-*+ 84:50 41 85 -++ Y vehicle if possible. ONL be furnished by return mail. Please include photo of LY VEHICLES TICIPA ACCEPTED FOR P AND EARLIER MANUF OF 1996 FACTURE PAR PATION AND/OR /++ 89-,+8 18,: :2 08*5 2 *41 *,:158 85-$,*:-24 OFFICIAL ENTRY APPLICATION 7 7 77 7 7 7 7 7 7 7 7 7 7 77 7 7 7 7 7
7
(PLEASE PRINT)
Name _______________________________________________________________ Age ________
___ NSRA Membership Number ____
_____________________
Mailing Address _______________________________________________ City ________________
_______________ State _________
Zip Code ____________
7 8+8%9248
77 / 2,-*:-24 *4) 25 3+1 * $+-*:-24 7 7 7 7
7 *-+ 7
Y Vehicle: Year _____________ Make __________________ Model __________________ Color ___
___________________ NSRA Safety
y Inspected? __________
7 LIABILITY: In conside own behalf and on be release, discharge and :98 65884 3214:0 /.5- ':*:82 (- 215-*4): connected with the ma all known or unknown d be suffered by entrant 8*,9 84:5*4: 8 %58 +0 and bodies from any a 7 7 7 7 7 7 7 7
7 eration of acceptance of this entry and the right to participate, entrant(s), on entrant(s) ehalf of entrant’s guests and participants does hereby unconditionally agree to fully d hold harmless the National Street Rod Association, the Ozark Empire Fairgrounds, ,1+:15*+*4)(8,9*4-,*+'2,-8:0&:98'%5-4.$8+)#*5"!2*5)&:983-:02 '%5-4.$8+)&:98 5 :98-5 2 $,85 & )-58,:25 & 8 %+2088 & *.84: & 58%58 84:*:- 8 & 85 *4: *4) *40248 8+ 8 nagement or presentation of the Mid-America Street Rod Nationals of and from any and damages, injuries, losses, judgements and/or claims from any cause whatsoever that may to their person or property and the person of entrant’s guests and participants. Further, 0 *.588 :2 -4)8 4- 0 *4) 92+) 9*5 +8 *++ 2 :98 258.2-4. 84:-:-8 & $5 & %85 24 and all liability occasioned or resulting from the conduct of entrant, their participants 7 7 7 7 7 7 7 7 7 7 7 7 7 7 7 7 7 7 7 7 7 7 7 7 7 7 7 7 7 7 7 7
5 % *% ' *!%9' The 2026 NSRAMid-America Street Rod Nationals will be presented in '%5-4.$8+)& (- 215-& 24 (*0 4)& 5) *4) :9& & -:9 *,:- -:-8 :2 8 %52)1,8) *4) ,24)1,:8) *: :98 *5" %-58 *-5.5214) /++ -)84:-$,*:-24 *:85-*+ & -4) 9-8+) :-,"85 *4) *) - -24 ,58)84:-*+ -++ 8 - 18)*::988 84: 58.- :5*:-242 $,8* 8)2458.- :5*:-24 ,98)1+8 1%24%58 84:*:-242 0215,24$5 *:-24 letter and your current NSRAmembership card. No admission permitted to the event for vehicles without windshield sticker in place and no persons, regardless of age, will be permitted entry to the event without the proper credentials. Entry fee includes vehicle entry and admission credentials for two people to all activities of the event. Participants’ children sixteen and under will be furnished admission credentials free of charge. Tickets for participants’ children over sixteen will be available at the regular adult admission fee. Credentials are non-transferable after registration check-in. 5 7 7 7 7 7 7 7 7 7 7 7 7 7 7 7 7 7 7 7 77 7 7 7 7 7 7 7 7 7 7 7 7 7 7 7 7 7 7 7 7 7 7
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5 % 9*' 9*%9' . )42144.24) 173$&4)( .128 1 % *' 9*%9' * 98 16(+0 3..32. #-#17(+0+#-#2. 5 5 5 5 5 5 5 5 5 5 5 5 5 5 5 5 5 5 5 5
5 )4362.34 %"43 4 173$&4)( . #-# +2 1(+0+#-#2. #-# 5 5 5 5 5 5 5 5 5 5
vidual assisting or cooperating with entrant or under the direction or control of entrant y to the person or property of others while in attendance or participating in the activities eet Rod Nationals. Entrants agree that participation in any activities, contests or games the NSRA hicles which have completed A Vehicle Safety Inspection, however, entrant nor does NSRA rees that entrant is no way relieved of liability A assume any liability of any ever upon performing a safety inspection. wn behalf and on behalf of entrant’s participants or guests, acknowledges and agrees y claim or controversy arising between entrant and NSRA that this Agreement has been is, Shelby County, Tennessee and that any and all claims or controversy shall be under Tennessee Courts in Memphis, Shelby County, Tennessee. Rod Association will endeavor to make all reasonable accommodations so that all are accessible to persons with disabilities. If you plan to attend this NSRAevent and ce, please contact the National Street Rod Association; 4030 Park Avenue; Memphis, 6; Telephone: 901-452-4030.
or guests, or any indiv which may cause injury of the Mid-America Str b li it d t h
5 5 9* %*9' ' *% In consideration of this entry, car owner, entrant and spouse or guests agree to permit the National Street Rod Association the use of their names and pictures, and pictures of the vehicle for publicity, advertising and commercial purposes (including dvds, the internet, magazines, 5 newspapers, radio, television and video tape) before, during and after the event and do hereby relinquish any rights whatsoever to any photos taken in connection with the event and give permission to publish or sell or otherwise dispose of said photographs to the National Street Rod Association. All publicity and advertising rights reserved by the National Street Rod Association. OPERATION: Event management reserves the right to restrict entrants to acceptable behavior during any and all activities of the event. Open headers and unnecessary tire-spin, or any other reason an entrant or their vehicle, their appearance or conduct are deemed objectionable by event management, entrant and their of vehicle will be subject to eviction from the premises. Any poor behavior ff the event facility will be reason for denying admittance of vehicle and entrant to the event. This reservation includes persons, things, conduct, printed matter, or any act or item of poor character which the event management considers to be objectionable to the event’s well being. The National Street Rod Association is not liable for refunding entry fees except at its own discretion.
may be limited to vehicles acknowledges and agrees kind or nature whatsoever upon performing a safety inspection. Entrant on entrant’s own behalf that in the event of any claim or controversy arising between entrant and NSRA entered into in Memphis, Shelby County the jurisdiction of the T The National Street Rod aspects of this event are accessible to need special assistance, please Tennessee 38111-7406;
5 % % !%' ' 9*' %9%9**'% !% 62 5 5 5 5 5 5
55 #' 9% 5 %
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5 9* * ** 9 *% !!* 5 5 5 5
5 9** *%!!* and current members wishing to renew their membership. 5 5 5 * bership. $105.00 At event -15.00 Discount $90.00 Enclosed Includes a one year StreetScene/NSRAsubscription/mem
5 %!' 3 6724 ,+-73$ 76 3.2 +"+7)+ )4# See lodging guide for campground listings. 5 5 5 5
$65.00 At event -15.00 Discount $50.00 Enclosed
mbership.
5 Entrant must be 18 years of age; if under 18, parent or legal guardian must sign below. 9876 43210 /.1- ,.32+736 + *4)4+64 +3( '3(4-37&,+27.3 %$144-432# ' 8+"4 14+( +3( +$144 +3( * )46 $."41373$ 284 4"432 +6 642 /.128 .3 2876 /.1- +3( +$144 2. . 641"4 +)) 1 )46 +3( ( Fairgrounds. Total Enclosed: $________________ 5 5 5 5 5 5 5 55 5 5 5 5 5 5 5 5 5 5 5 5 5 5 5 5 5 5 5 5 5 5
5 5 5 2. +)) ,.3(727.36 ./ 284 !7( %-417,+ 21442 *.( +27.3+)6 (4,767.36 ./ 284 "432 !+3+$4-432 +3( 284 +1 -714 5 5 5 5 5 5 5 5 5 5 5 5 5 5
5
SIGNATURE OF ENTRANT: ____________ (AND LEGAL GUARDIAN IF APPLICABLE)
________________________________________________ E) ______________________________________________
NATIONAL STREET ROD ASSOCIATION ® 4030 PARK AVENUE • MEMPHIS, TN 38111-7406 • 901-452-4030 http://www.nsra-usa.com
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