The Edinburg Mill
5th Annual Antique Auto Show
HOSTED BY THE TOWN OF EDINBURG AND
SHENANDOAH VALLEY
CULTURAL HERITAGE MUSEUM
EDINBURG MILL, EDINBURG, VIRGINIA
SUNDAY, AUGUST 5, 2018
10:00 a.m. – 2:00 p.m.
From 81, take Exit 279 East on Stony Creek Blvd towards Route 11. Take right on Rt. 11, cross the creek to the Mill on the right.
REGISTRATION FEE
$15.00
Payable to: EHF
MAIL TO:
ANTIQUE AUTO SHOW
P O BOX 85, EDINBURG, VA 22824
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SHOW INFORMATION:
Town of Edinburg: Michelle, 540-984-8521
PRIZES * DOOR PRIZES * FOOD & MORE
REGISTRATION AMOUNT: ____________ ENTRY NUMBER:_________________
NAME: ___________________________________________________________________________________
ADDRESS: ________________________________________________________________________________
CITY: __________________ STATE: _________________ ZIP: ___________________
MAKE OF VEHICLE: _____________________ YEAR: ______ MODEL: _____________ COLOR: ________
TELEPHONE: ( ) ___________________ EMAIL:_________________________________
LIABILITY RELEASE
In consideration of the acceptance of the right to participate, entrants, participants and spectators, by execution of this entry form expressly release and discharge the Edinburg Heritage Foundation, Town of Edinburg, Mill House owners, employees, agents, representatives, servants and anyone else connected with the management and presentation of the Save the Mill Antique Auto Show of and from any and all known or unknown damage, injuries, losses judgments and/or claims from any clauses whatsoever that may be suffered by any entrant to his person or property. Further, each entrant expressly agrees to indemnify all of the forgoing entities, firms, persons, and bodies of an any and all liability occasioned of or resulting from the conduct of entrants of any participant assisting or cooperation with entrant under the direction or control of the entrant.
Signature of Entrant: __________________________ Date: _____