Rimbey Electric

Rock'n Rimbey 

Subtitle

                                                                             SATURDAY,   AUGUST 25, 2018

                                   

 Pre-registration is only required for Supper Tickets (one week prior) and T-shirts (by July 15) to avoid disappointment. T-shirts will be available at the Car Show on a first come, first served basis, in most common sizes. (xxl and xxxl are sold out).                                                       

Please print this page and send with Cheque or money order to: Rimbey Lions Club   C/O Box 1759,Rimbey, AB.,T0C 2J0     email: [email protected]l.com

Day passes are no longer available.  Please enter each event as it comes up, or when you enter the car show, or include with your pre-ordered supper/dance tickets and t-shirts.

                                                                                                                                                  


Names

First ______________________Last____________________________

First ______________________Last____________________________

Address   _________________________________________________

City____________________________

Prov. __________________Postal Code____________________

Cell Phone ________________________________

Email _____________________________________

VEHICLE(S)

Year ________Make ______________Model____________Color_________

Year ________Make ______________Model____________Color_________

Car Club affiliation:______________________________________________


Liability:  You must be registered to participate in any Rock'n Rimbey events.  The undersigned and/or guests of, hereby agree to indemnify all officers, directors, representatives, volunteers/employees of the Town of Rimbey and/or Rimbey Lions Club against any and all alleged wrongful acts, and/or claims resulting from attendance and participation in this event and associated events.  I/we agree to assume all responsibility to follow traffic laws.  Event Exhibitors and/or participants agree to permit Rimbey Lions Club to use event photos for promotion or advertising of the event and future events in print or electronic media, and on our web site(s).

Operation:  Event management reserves the right to restrict entrants to acceptable behaviour during any events of Rock'n Rimbey.  Tire spinning, open liquor or conduct deemed objectionable by the event management will result in entrant and vehicle being evicted from the premises.  This reservation includes persons, things, conduct, printed material or any act or item of poor character which the management considers to be objectionable to the events' well being.  In the case of eviction or restriction Rimbey Lions Club is not liable for refunding fees except at its own discretion.  All pets must be leashed. I have read, understand and agree to comply to the above information.    

Print Name________________________________________________

Signature_____________________________________Date________________

                            EVENT  COSTS

Pancake breakfast                       $10.00x ____ = ____ 

Under 6 yrs.                                   free  x ____


Show and Shine  Vehicle               $20.00x ____ = ____

                                                 ( Spectators   are   free )

Parts Swap Meet                             (to be determined)       

Car Rally vehicle                           $20.00x ____= ____

            

Supper                                          $25.00x ____=____

6-10 yrs.                                      $10.00x ____=____

Under 6 yrs                                    free    x ____


Dance (live Band)                           $15.00 x____ = ____

T-SHIRTS

S___M___L___XL___ X $20.00 =           $__________

Please pre-order T-SHIRTS before July 15 as only a limited quantity are available at the show.

       

(no GST required)        GRAND TOTAL      $_______________


  • Cheques or Money orders, payable to:

Rimbey Lions Club c/o Box 1759, Rimbey, AB., T0C 2J0

Privacy:  All documentation submitted  to us with personal information will be filed/kept in strict confidence.