2021 Car Cruise

Personal Information

• * First Name:
• * Last Name:
• * Email Address:
• * Confirm Email Address:
• * Address 1:
• Address 2:
• * City:
• * State: --Choose-- Alabama Alaska Arizona Arkansas California Colorado Connecticut Delaware District of Columbia Florida Georgia Hawaii Idaho Illinois Indiana Iowa Kansas Kentucky Louisiana Maine Maryland Massachusetts Michigan Minnesota Mississippi Missouri Montana Nebraska Nevada New Hampshire New Jersey New Mexico New York North Carolina North Dakota Ohio Oklahoma Oregon Pennsylvania Rhode Island South Carolina South Dakota Tennessee Texas Utah Vermont Virginia Washington West Virginia Wisconsin Wyoming -------------- Alberta British Columbia Manitoba New Brunswick Newfoundland and Labrador Northwest Territories Nova Scotia Nunavut Ontario Prince Edward Island Quebec Saskatchewan Yukon Territory
• * ZIP Code:
• * Cell Phone:

• Fee

  Type	Fee
  1 Vehicle	$40.00

Vehicle Information

• * Vehicle Make
• * Model
• * Year

• THERE ARE NO GUARANTEES FOR YOUR CAR LINE UP!

Terms & Conditions

• In consideration of inclusion as a participant in the 1st Annual Seal Beach Car Cruise (“Car Cruise”). I agree to indemnify and hold harmless the “Car Cruise”, the City of Seal Beach, the Seal Beach Chamber of Commerce and its members, agents and employees from and against all liability of loss that I and/or my guests, including family and friends, may sustain or incur as a result of claims, demands, costs or judgments arising from my involvement in the “Car Cruise”. I am aware that there are NO REFUNDS or CARRY OVER OF FEES.

• As a condition of my participation in the “Car Cruise”, I grant the “Car Cruise”, the City of Seal Beach, the Seal Beach Chamber of Commerce and its members, agents and employees perpetual and non-revocable permission to use my name, photographs and video in which my image and likeness appears in connection with my participation in the “Car Cruise” and further grant permission to display, publish, distribute, use print and reprint such images and likenesses, and the right to employ such images or likenesses in advertising and promotions relating thereto.

• * Do you accept the about Terms and Conditions? --Choose-- Yes No
• * Please enter your name to complete the application.

• Your Car Must be Pre-1984, newer models will not be allowed to enter the show, do you understand?

  • YES
  • NO

Business Information

• * What size T-Shirt?

Participant Information

You may add a maximum of 100