: : AUGUST 7= 7= IN * "/> IOWA :
1 p handicap contrivances, motorized or non-motorized, will be allowed. The decision of the % /! 4- #4 + !*- 1 1 1 NSRA All vehicles at any/all A events, 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 q g y g g 1 Complete and mail with correct amount to National Street Rod Association, 4030 Park ,+*+' + )&4 ' 0*!( -340*0/+*3(2-*"0/! 4- +*3(2* +(#4 Y be furnished by return mail. Please include photo of vehicle if possible. ONLYVEHICLES TICIPA ACCEPTED FOR P AND EARLIER MANUF OF 1996 FACTURE PAR PATION AND/OR ,+&4 + + 3302+-(0/ -*/- 3(+,+(4! -340* APPLICA OFFICIAL ENTRY ATION 1 1 11 1 1 1 1 1 1 1 1 1 1 1 11 1 1 1 1 1
(PLEASE PRINT)
Name _______________________________________________________________ Age ________
___ NSRA Membership Number ____
_____________________
Mailing Address _______________________________________________ City ________________
_______________ State _________
Zip Code ____________
1 + +)&0*+ 0 4-340*-*"0(5 -/! 4-340* 11 1 1 1 1
1 -4 1
Y Vehicle: Year _____________ Make __________________ Model __________________ Color ___
: $* 8 ;<79 102 <8) <; 0' <;;<;;< < 0..9 >9.9 =389 * *,* >/ /,* * : : : : : : : : /# bership. h may cause injury to the person or property of other Quad Cities Street Rod Nationals. Entrants agre ay be limited to vehicles which have completed th owledges and agrees that entrant is no way relieve or nature whatsoever upon performing a safety ins wn behalf and on behalf of entrant’s participants o y claim or controversy arising between entrant and T is, Shelby County, Tennessee and that any and all T ennessee Courts in Memphis, Shelby County, Tenn od Association will endeavor to make all reasonable sible to persons with disabilities. If you plan to atten ntact the National Street Rod Association; 4030 P e: 901-452-4030. 1 1 ration of acceptance of this entry and the right to ehalf of entrant’s guests and participants does he d hold harmless the National Street Rod Associat %3-3+0/$0#--*"3&+4(0/! +( '"4(+ 30( '+ ) 02++ ected with the management or presentation of the nown or unknown damages, injuries, losses, judgem be suffered by entrant to their person or property her, each entrant expressly agrees to indemnify an -*"0"4+ /(0 -*2-*"- 4-4 4320 - 40*+"0(( uests, or any individual assisting or cooperating w 1 1 1 1 1 1 1 1 1 1 1 1 1 1 : ,;.9 0605 97798-364 3 (2(#07%6-050(2(73 83 : : : : : : : : : : ___________________ NSRA Safety
1 participate, entrant(s), on entrant(s) ereby unconditionally agree to fully V tion, the Mississippi Valley Fair, the ( + ' - +*3 ' (+)(+ +*3-34,+ ' +(,-*3 Quad Cities Street Rod Nationals of ments and/or claims from any cause and the person of entrant’s guests nd hold harmless all of the foregoing (+ 34* /(0 3&+ 0*" 30/+*3(-*3' with entrant or under the direction or 1 1 1 1 1 1 1 y Inspected? __________
: * " /*," / *>," The 2026 NSRAQuad Cities Street Rod Nationals will be presented in Davenport, V Iowa, on August 28th and 29th, 2026, with activities to be produced and conducted at the Mississippi Valley Fair. 4"+*34! -340* -3+(4- '#4*" &4+ " 34 +(-*"-" 4 40* (+"+*34- #4 +4 +"-33&++,+*3 (+ 4 3(-340* 0/! +- +"0*(+ 4 3(-340* &+" +)0*)(+ +*3-340*0/20( 0*!( -340* +33+(-*"20( ((+*3% membership 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. : 1 1 1 1 1 1 1 1 1 1 1 1 1 1 1 1 1 1 1 1 1 1 1 1 1 1 1 1
1 1 ,*,,> In conside own behalf and on be release, discharge and 5432 0/ .-,+*)0(3' 3&+ % and anyone else conne and from any and all kn whatsoever that may b and participants. Furth +*3434+ ' !( ' )+( 0* their participants or gu 1 1 1 1 1
1 1
1
1
: 0 ">/ ,#>/*>," ,;.9$0;<83379.97798-364 6 / ,#>/*>,"/#>=%6;-05 833873 (2( 6<-050(2(73 :: : : : : : : : : : : : : : : : : : : :
338
: : ">/* />,#,"/ *# 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. /*>," 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.
control of entrant which in the activities of the contests or games ma however, entrant ackno any liability of any kind Entrant on entrant’s ow that in the event of any entered into in Memphi the jurisdiction of the Te The National Street Ro of this event are access assistance, please con 38111-7406; Telephone
rs while in attendance or participating e that participation in any activities, he NSRA Vehicle Safety Inspection, nor does NSRA d of liability Aassume spection. r guests, acknowledges and agrees NSRA that this Agreement has been claims or controversy shall be under nessee. accommodations so that all aspects nd this NSRA event and need special Park Avenue; Memphis, Tennessee
: * * " *,," ">/, #*$$ > * > / /,* *#> 7= ( ,#$">* : : : : : : : :: :
: ," '0<.0!.9 7=63%)= 7=9 95 0<6)63%8-;( #> 7= ( : : : : :
: ">/ /$// ">"#/* /# : : : :
: ">/ /"""#/* / and current members wishing to renew their memb : : : $105.00 At event -15.00 Discount $90.00 Enclosed Includes a one year StreetScene/NSRAsubscription/mem
$65.00 At event -15.00 Discount $50.00 Enclosed
mbership.
: Entrant must be 18 years of age; if under 18, parent or legal guardian must sign below. >=<; 98765 4362 13870<8; 0 /9.90;9 08- ,8-928<+107<38 *)6992987( , =0'9 690- 08- 0)699 73 /%.9; )3'968<8) 7=9 9'987 0; ;97 4367= 38 7=<; 4362 08- 0)699 73 3!;96'9 0.. 6%.9; 08- -91<;<38 : : : : : : : :: : : : : : : : : : : : : : : : : : : : : :
: : : 0.. 138-<7<38; 34 7=9 &%0- $<7<9; # 8;347=9 '987 080)9298708-7= : : : : : : : : : : :
: #76997 /3- "07<380.; 08- 9 <;;<;;< < 0..95 0<6( : : : : :
:
: : > #,"*>/ ">/*"> *" **/,*", *,$* : : : :
Total Enclosed: $________________
____________
_____________________________
____________________
___________________________
____________________
NATIONAL STREET ROD ASSO 4030 PARK AVENUE • MEMPHIS, TN 38111-7406 http://www.nsra-usa.com
OCIATION ® • 901-452-4030
Made with FlippingBook - Online magazine maker