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2 2 2 2 2 g occupant handicap contrivances, motorized or non-motorized, will be allowed . The 3/).(.,4,+10/ +*).5$( .$$/*45$ 2 2 2 2 2 NSRA All vehicles at any/all A events, must be licensed, insured and registered for the event. No motorized or non-motorized contrivances which do not comply with these requirements shall be ridden or driven on the grounds. Only recognized, single q g y g 2 Complete and mail with correct amount to National Street Rod Association, 4030 Park !/4 /' /&%0.(' ),4*-&51.,4,+/41-#543,+*).5$/41-#4 &/- .$$ be furnished by return mail. Please inclu LY VEHICLES OF 1996 AND EARLIER MANUFACTURE PAR PATION AND/OR $$!/0.)$/(( /)11,#/5-,+&54 +5)1 -/!/-.*)51.,4 OFFICIAL ENTRY ATION 2 2 22 2 2 2 2 2 2 2 2 2 2 2 22 2 2 2 2 2 APPLICA TICIPA ACCEPTED FOR P Y de photo of vehicle if possible. ONL
5
(PLEASE PRINT)
Name _______________________________________________________________ Age ________
___ NSRA Membership Number ________________________
Mailing Address _______________________________________________ City ________________
_______________ State _________ Zip Code ____________
2 /$/%0,4/ ((,).51.,4 543,- $ 5+*$.51.,4 22 2 2 2 2
2 &5.$ 2
Y Vehicle: Year _____________ Make __________________ Model __________________ Color ___ V
___________________ NSRA
A Safety Inspected? __________
7 # ,' )#, ';)# ANortheast Street Rod Nationals will be presented in Burlington, Vermont, on September 18th and 19th, 2026 with activities to be produced and conducted at the Champlain 5$$/# %,(.1.,4$$.3/41.*)51.,4&51/-.5$(' .43(0./$3(1.)/-54353&.((.,4)-/3/41.5$( .$$/.(( /35110/ /!/41( -/".(1-51.,4 ,+*)/ 5(/3 ,4 -/".(1-51.,4 ()0/3 $/ %,4 %-/(/4151.,4 ,+ #, - ),4*-&51.,4 $/11/- 543 Amembership card. No admission permitted to the event for vehicles without windshield 7 2 22 2 2 2 2 2 2 2 2 2 2 2 2 2 2 2 2 2 2 2 2 2 2 2 2 2 2 2 your current NSRA The 2026 NSRA ' , sticker in place and no persons, regardless of age, will be permitted entry to the event without the proper credentials. Entry fee includes vehicle entry and admission credentials for two people to all activities of the event. Participants’ children sixteen and under will be furnished admission credentials free of charge. Tickets for participants’ children over sixteen will be available at the regular adult admission fee. Credentials are non- transferable after registration check-in.
2 + LIABILITY: In conside own behalf and on b fully release, discharg Exposition, the City of 543 10/.- ,+*)/-(' 3.-/) the management or pr unknown damages, in ffered by entran 2 2 2 -10/-' /5)0 /41-541 / persons and bodies fr 2 2 be suf
2 ration of acceptance of this entry and the right to participate, entrant(s), on entrant(s) behalf of entrant’s guests and participants does hereby unconditionally agree to ge and hold harmless the National Street Rod Association, the Champlain Valley Burlington, the Town of Essex, The Village of Essex Junction, the State of Vermont )1,-('/&%$,#//('5"/41('-/%-/(/4151.!/('(/-!541(54354#,4//$(/),44/)1/3 .10 resentation of the Northeast Street Rod Nationals of and from any and all known or njuries, losses, judgements and/or claims from any cause whatsoever that may nt to their person or property and the person of entrant’s guests and participants. / %-/(($# 5"-//( 1, .43/&4.+# 543 0,$3 05-&$/(( 5$$ ,+ 10/ +,-/",.4" /41.1./(' *-&(' rom any and all liability occasioned or resulting from the conduct of entrant, their 2 2 2 2 2 2 2 2 2 2 2 2 2 2 2 2 2 2 2 2 +
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7 #;, )";,';)#684 84635+ 895*-//63)55 , )";,';)# ,";: 38*-2 500540 %/%39*-2-%/%40 7 7 7 7 7 7 7 7 7 7 7 7 7 7 7 7 7 7 7 7 7 3 6 '
7 9++98405,0-*"0 4: 3+95&405 0 %/%"-4 3*-2-%/%40 5005 7 77 7 7 7 7 7 7 7 7 7
7 7 #;, ' ,;)")# , '" 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, 7 , 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. of ATION: 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 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. OPERA
7 ' )# 58946.-/ 95&98-$-9+-!+64:30 &:4:6 :-/ +-95 -++62 0894905% 6-$6 - /688-&6 94: ;0/ 3-&- Telephone: 802-355-4572 ')' ; , ,)''"; 4: % 7 7 7 7 7 7 7 7 7 7 7 7 7 7 7 7 7 to attend this NSRA or any individual assisting or cooperating with entrant or under the direction or control ause injury to the person or property of others while in attendance or participating in the ast Street Rod Nationals. Entrants agree that participation in any activities, contests or to vehicles which have completed AVehicle Safety Inspection, however, entrant ees that entrant is no way relieved of liability nor does NSRAassume any liability of any ver 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 Athat thisAgreement has been is, Shelby County, Tennessee and that any and all claims or controversy shall be under ennessee Courts in Memphis, Shelby County, Tennessee. od Association will endeavor to make all reasonable accommodations so that all aspects sible to persons with disabilities. If you plan A event and need special ntact the National Street Rod Association; 4030 Park Avenue; Memphis, Tennessee e: 901-452-4030. T NSRA theNSRA ' T ;
participants or guests, of entrant which may ca activities of the Northea
games may be limited to vehicles acknowledges and agrees that
T kind or nature whatsoever upon performing a safety inspection. Entrant on entrant’s own behalf and on behalf of entrant’ that in the event of any claim entered into in Memphis, Shelby County the jurisdiction of the Tennessee Courts in Memphis, Shelby County The National Street Rod of this event are accessible assistance, please contact the National Street 38111-7406; Telephone:
7 # '))# #;,) "' ; '; ,,)''"; 4: %)" #;' 7 7 7 7 7 7 7 77 7 ' '
7 #;, , ,, #; #",' ," 7 7 7 7
7 #;, , ###",' , and current members wishing to renew their membership. 7 7 7 ," bership. ,
$65.00 At event -15.00 Discount $50.00 Enclosed
$105.00 At event -15.00 Discount $90.00 Enclosed
Includes a one year StreetScene/NSRAsubscription/mem
mbership.
7 Entrant must be 18 years of age; if under 18, parent or legal guardian must sign below. ;:98 65432 103/ .054-958 - ,6+6-86 -5* )5*6/59(.-4905 '&366/654% ) :-$6 36-* -5* -&366 40 -++ &0$63595&4:66$654-88641034:054:98103/-5*-&366400!863$6-++3 +68-5**6.989058014: 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 7 7 7
7 7 .05*949058 01 4:6 #034:6-84 "43664 ,0* #-4905-+8 and Rules :6 $654 -5-&6/654 -5* 4:6 :-/ +-95 -++62 0894905% 7 7 7 7 7 7 7 7 7 7 7
SIGNATURE OF ENTRANT: ____________ (AND LEGAL GUARDIAN IF APPLICABLE)
Total Enclosed: $________________
________________________________________________ E) ______________________________________________
NATIONAL STREET ROD ASSOCIATION ® 4030 PARK AVENUE • MEMPHIS, TN 38111-7406 • 901-452-4030 http://www.nsra-usa.com
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