Classic Car Registration Form

Yerington car show 2018

Saturday, May 12 – Classic Car Show

DJ R. Boogie from 11am-5pm

Free ELVIS SHOW in the Casino

Food & Beverage vendors

Raffle prizes worth $1,000

Boys & Girls Club Kid’s Zone

FREE Women’s Bowling Event

$25 entry fee (due at registration May 12, 2018) includes a t-shirt and fun book – a $50 value!

For more information call (775) 463-2481 ext 1413 or email us at bcastiglione@pioneercrossingcasino.com

Registration, Saturday, May 12th 7-11am

Yerington Classic Car Show

Name*
First Last
Address*
Street Address Address Line 2 City State ZIP Code
Vehicle Make*
Vehicle Model*
Year*
Please enter a number from 1910 to 2000.
Miles Driven
Email*
Phone*
T-Shirt Size*
Extra T-Shirts
- L-XL $12.00
- 2-3XL $15.00
optional
Entry Fee*
Extra T-Shirt Cost

IF you opted for extra t-shirts add up all extra t-shirt costs and enter here.
Total Due*
Entry Fee, plus the cost of any additional shirts. If it's just the entry fee, please put $25.
Signature*
*
- I understand that checking this box constitutes as my legal signature
Date
MM slash DD slash YYYY

WAIVER: I hereby release Pioneer Crossing Casino, its employees, affiliated vendors, of any and all liability & public property damage resulting from my participation in the event. Permission is also granted to use photographs of my vehicle for publication or promotional use. I certify that I am an adult or my parent or guardian will sign on my behalf.

Dayton • Verdi

Dayton • Fernley • Yerington

Henderson, NV