Show Car Registration    

Car Owner's First Name:  

Car Owner's Last Name:  

Mailing Address:  

City:  

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Vehicle Make:   Select Auburn Austin Brewster Bugetta Buick Cadillac Chevrolet Chrysler Corvette Crosley DeSoto Dodge Dodge Brothers Dutsun Economy Elgin Essex Excalibur Ford Frazier Gatsby Graham-Paige GMC Henry J Hudson Hupmobile International Jaguar Kaizer LaSalle Lincoln Locomobile Maxwell Mercury MG Nash Oldsmobile Overland Packard Peterbuilt Plymouth Pontiac REO Roosevelt Seagrave Stanley Studebaker Stutz Terraplane Trucker Volkswagen Whippet Willys

Vehicle Model:  

Vehicle Body Style:   Stock     Street Rod     Custom

Additional vehicle details we may need to know:  

Release and Regulation Agreement:   I hereby agree to release the Newport Lions Club, the Town of Newport, Indiana and the committees in charge of the Newport Antique Auto Hill Climb from any responsibility or liability for any car or its occupants for any expense I might incur. I have completely read and understand the Newport Hill Climb Show Car Event Web Page and agree to abide by the regulations as set forth by the Show Car committee and I also recognize that all decisions made by the Show Car committee are and will be final. I authorize the technical Committee to examine my vehicle if challenged.

I Agree   I Disagree

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