Please Fill Out Form Below, Print It and Send it Via Snail-mail / Fax

Or bring it to our show and take it directly to the Raffle Booth

No Entry Fees!!!  It's Free To Participate !!!! Please Read Carefully

      Entry Form

I wish to participate in the Following Contest

Vitals

1 Your Name.....
2 Club Affiliation.
3 Address........
4 City............
5 State..........  
6 Postal Zip..... 
7 Telephone......   

Please Select Contest Of Choice By Checking The Appropriate Box

Tattoo Contest

 Hula Hoop Contest 8-12 years**

Hula Hoop Contest 13-17 years**

Hula Hoop Contest  Adult Ages 18  and Up

 

Tricycle Race 8-12 years** Tricycle Race 13-17 years**

Tricycle Race Adult Ages 18  and Up
 

Mustard Face/ Hot Dog Eating Contest 8-12 years**

Mustard Face/ Hot Dog Eating Contest 13-17 years**

 Mustard Face/ Hot Dog Eating Contest

Adult Ages 18  and Up
 

Other Events to Participate in

If ya want to Enter Yer Model Car or Monster Model Forms will be Available at Registration the Day of the show.

 

 

I Wanna Be A Judge Specify event: ___________________

**Must have Parents Permission

Liability Release: By execution of this form, I do hereby release and discharge the City of Canoga Park CA, Ed Roth Estate, Moldy Marvin, Elks Lodge # 2190, Galpin Ford, Automated Entertainment, Kulture Shoq, The Mutilators Motor Club, and any members or employees thereof for any injuries to myself and all damages that may occur to my vehicle or vehicles while I am participating in Moldy Marvin's 3rd annual Rat Fink.Party / Kustom Kulture Extravaganza, Klassic and Kustoms Show Saturday July 20th, 2002.

Signature _________________________ Date ___________ 

Send it To Us or Fax it to: (818) 767-3722

Or bring it to our show and take it directly to the Raffle Booth

@utomated Entertainment P.O. Box 7309 Burbank, CA 91510

(800) 880-6567 or (818) 767-0222

Copyright 2000/2001/2002 @utomated Entertainment Burbank, CA