2023 CAR REGISTRATION — PacersAthletic

CAR REGISTRATION

$30 VEHICLE REGISTRATION ($10 OFF REGISTRATION FEE FOR PC AND DAMIEN ALUMNI)

* Registration comes with free pancakes, sausage and bacon breakfast and the t-shirt

* All makes and models welcome

** PC and Damien Alumni will receive $10 discount for the registration, free breakfast, t-shirt, and a drink of your choice!

***Make checks payable to Pomona Catholic School: 2023 Car Show and send to: 533 W. Holt avenue, Pomona, CA 91768
(check must be received before June 3)

Name

First Name

Last Name

Phone

(###)

###

####

Address

Address 1

Address 2

City

State/Province

Zip/Postal Code

Country

T-shirt size

Year/Make/Model of Entry

Club

ALUMNI STATUS

YES

IF YES, WHAT SCHOOL AND YEAR OF GRADUATION

maiden name or last name when graduated

For PC Alumni, please let us know your last name at the time of graduated

Pre-registration fee $40 per car includes free event t-shirt by June 1, 2023 | $50 at the door show goes rain or shine NO REFUNDS

Make checks payable to Pomona Catholic School and send to: 533 w. holt avenue, pomona, ca 91768 check must be received before June 3

Liability: In consideration of the acceptance of the right to participate, entrants, participants, and spectators, by execution of this form, release and discharge the POMONA CATHOLIC SCHOOL, the City of Pomona, and their officers, directors, employees, agents, representatives and servants and anyone else connected with management of the POMONA CATHOLIC SCHOOL car show event of and from any and all known or unknown damages, injuries, losses, judgements, and/or claims from and causes whatsoever that may be suffered by any entrant to his person, vehicle, or property. Further, each entrant expressly agrees to indemnify all of the foregoing entities, forms, persons, and bodies of any form, and any and all liabilities occasioned or resulting from the conduct of entrants or any participant assisting or cooperating with entrant and under the direction or control of entrant.

form of payment

Check number

If pay and mail by check, please include the check number and the amount of payment here