Car Hop RegistrationSingle Entry - $125Includes single entry plus two (2) passesExtra Bracelets - $40 Registrant InfoName(Required) First Last Phone(Required)Email(Required) Enter Email Confirm Email Address(Required) Street Address Address Line 2 City State / Province / Region ZIP / Postal Code Car InfoYear(Required) Color(Required) Make(Required) Model(Required) Judging Class Club Affiliation Submit Photo of Your CarYou may submit up to three photos of your car not to exceed a maximum file size of 10MB. Drop files here or Select files Accepted file types: jpg, png, jpeg, Max. file size: 10 MB, Max. files: 3. Payment & WaiverRegistration + 2 Passes Quantity Price: $125.00 Quantity This is a single entry that includes two (2) passesExtra Bracelets Quantity Price: $40.00 Quantity Total Payment Information(Required)Enter Your Card Details Name as it Appears on Your Card Waiver(Required) I agree to the following:I release Showbiz Tickets from any damages and claims. The vehicle owner is responsible for their own cars and their contents. I hereby give consent to Showbiz West Texas (the “organization”) to photograph, videotape, or otherwise digitally record and use images and/or sound recordings of myself or my vehicle to use in any public media, including radio, television, internet, social media, print or in any of the organization’s or its partners’ publications, productions, or posts. I understand that the intended use of such images and information is solely for the purpose of advertising, marketing, fundraising and/or the promotional and public awareness purposes for the organization. I hereby waive any rights or interest in the images or recordings, as contemplated in this release. I acknowledge that this consent to use images and/or recordings is being made solely for the benefit of the organization and comes without any expectation of monetary compensation or other benefits to me. To the extent that any benefit accrues or might accrue to the organization from the use of images or information, I hereby and forever waive any interest in or claim to such benefits. I hereby release and forever discharge the organization (including without limitation all corporate affiliates and officers, directors, trustees, donors, employees, agents and volunteers) from any and all claims, liability, actions, suits, demands, costs, expenses or indebtedness arising out of, related to, or in any way connected with the use of images and materials described herein, and I hereby waive all rights and interest in and to such information and materials. I further acknowledge that there is no guarantee that any or all of the participants’ images or recordings will be used in any released media.Date(Required) MM slash DD slash YYYY Signature(Required) Δ