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All vehicles at any/all NSRA events, must be licensed, insured and registered for the event. No motorized or non-mo ! 3 -'&%020654'6/%/21*-..0*26'- 522-62/-56%2.002-4))-*/62/-5( 6."05 0( 0'&1/)( ONL furnished by return mail. Please include photo of vehicle if possible. LY VEHICLES OF 1997 AND EAR %%"01/*%0)) 0*22-$06.-,'65 ,6*2 .0"0./+*62/-5 % !92828 2828 '!' 3 3 3 3 3 3 3 3 3 3 3 3 3 3 3 3 3 33 3 3 3 3 3 5 5 5 5 5 5 55 55
33 3 , *-5+.'62/-5 -, 052.$ 654 -,+*/6% 052.$ 5 '0. /%% 0 TICIP ACCEPTED FOR P LIER MANUFACTURE PAR PATION AND/OR 9 3 3 3 3 3 3 3 3 3 5
otorized contrivances which do not comply with these requirements shall ! !
(PLEASE PRINT)
Name _______________________________________________________________ Age ________
___ NSRA Membership Number ________________________
Mailing Address _______________________________________________ City ________________
Zip Code _____ _______________ State _________ _________
3 0%0&1-50))-*/62/-5654-. % 6,+%/62/-5 33 3 3 3 3
33 '6/% 3
Y Vehicle: Year _____________ Make __________________ Model __________________ Color ___
___________________ NSRA Safety Inspected? __________
5 *%' * %9' : The NSRAStreet Rod Nationals will be presented in Louisville, Kentucky, August 5th, 6th, 7th, and 8th, 2027, with activities to be produced and conducted at the Kentucky &-)/2/-5 0520. %% /4052/+*62/-5 '620./6%)( /54)1/0%4 )2/*0. 654 64'/))/-5 *.04052/6%) /%% 0 , /)) 04622100"052).0#/)2.62/-5-,+*06)04-5.0#/)2.62/-5)*104 %0 &-5&.0)05262/-5-,$- . *-5+.'62/-5%0220.654$- .* ..052'0'0.)1/&*6.4 -64'/))/-5&0.'/22042-2100"052,-. 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. 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, 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 vehicle will be subject to eviction from the premises. Any poor behavior off 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. In the case of eviction or restriction, the National Street Rod Association is not liable for refunding entry fees except at its own discretion. 3 33 3 3 3 3 3 3 3 3 3 3 3 3 3 3 3 3 3 3 3 3 3 3 3 3 3 3 3 3 33 3 3 3 3 3 5 5 5
3 '%''9 : In consid entrant(s) own behalf agree to fully release Exposition Center, the , 654 210/. -,+*0.)( 4/.0 with the managemen unknown damages, i be suffered by entran ! .210.(06*1052.652 persons and bodies f participants or guests, of entrant which may c in the activities of the or games may be lim however, entrant ack assume any liability o 3 3 3 3 3 Entrant on entrant’s o agrees that in the ev Agreement has been or controversy shall Tennessee. The National Street R aspects of this event and need special ass Memphis, Tennessee
3 deration of acceptance of this entry and the right to participate, entrant(s), on f and on behalf of entrant’s guests and participants does hereby unconditionally , discharge and hold harmless the National Street Rod Association, the Kentucky e Kentucky State Fair Board, the City of Louisville, the Commonwealth of Kentucky 0*2-.)( 0'&%-$00)( 6#052)( .0&.0)05262/"0)( )0."652) 654 65$-50 0%)0 *-550*204 nt or presentation of the Street Rod Nationals of and from any and all known or njuries, losses, judgements and/or claims from any cause whatsoever that may nt to their person or property and the person of entrant’s guests and participants. 0 &.0))%$ 6#.00) 2- /540'5/,$ 654 1-%4 16.'%0)) 6%% -, 210 ,-.0#-/5# 052/2/0)( +.')( from any and all liability occasioned or resulting from the conduct of entrant, thei r , or any individual assisting or cooperating with entrant or under the direction or control cause injury to the person or property of others while in attendance or participating Street Rod Nationals. Entrants agree that participation in any activities, contests the NSRA mited to vehicles which have completed AVehicle Safety Inspection, nowledges and agrees that entrant is no way relieved of liability nor does NSRA of any kind or nature whatsoever upon performing a safety inspection. 3 3 3 3 3 3 3 3 3 3 3 3 3 3 3 3 3 3 3 own behalf and on behalf of entrant’s participants or guests, acknowledges and entrant and NSRA vent of any claim or controversy arising between A that this entered into in Memphis, Shelby County, Tennessee and that any and all claims be under the jurisdiction of the Tennessee Courts in Memphis, Shelby County, Rod Association will endeavor to make all reasonable accommodations so that all are accessible to persons with disabilities. If you plan to attend this NSRA event sistance, please contact the National Street Rod Association; 4030 Park Avenue; e 38111-7406; Telephone: 901-452-4030.
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5 ENTRY FEE FOR NON-NSRAMEMBER and current members wishing to renew their membe % %'' 9*' !% 9 %9 **'% 28 #'! 9% 5 5 5 5 5 5 5 5 5
5 % %'% 9* *'% 28 # 5 5 5 5
RS
CAMPING
NSRA ENTRY FEE FOR CURRENT A MEMBERS
rship
On site camping is available through the Kentucky Exposition Center. Telephone: 1-502-367-5380
$65.00 at event -15.00 Discount through July 9th, 2027 $50.00 Enclosed
$105.00 at event -15.00 Discount through July 9th, 2 $ 90.00 Enclosed Includes a one year StreetScene/NSRAsubscription/mem
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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 2. +)) 284 4"432 +6 642 /.128 .3 2876 /.1- +3( +$144 2. . 641"4 +)) 1 )46 +3( (4,767.36 ./ 284 "432 + 5 5 5 5 5 5 5 55 5 5 5 5 5 5 5 5 5 5 5 5 5 5 5 5 5 5 5 5 5 5 5 5 5 5
5 5 ,.3(727.36./284!21442*.( +27.3+)6+3(* )46$."41373$ +3+$4-432 +3( 284 432 ,0 .6727.3 43241# 5 5 5 5 5 5 5 5 5 5 5
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________________________________________________ E) ______________________________________________ SIGNATURE OF ENTRANT: ___________________________________________________________ (AND LEGAL GUARDIAN IF APPLICABLE)
Total Enclosed: $________________
NATIONAL STREET ROD ASSOCIATION ® 4030 PARK AVENUE • MEMPHIS, TN 38111-7406 • 901-452-4030 http://www.nsra-usa.com
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