The West Jefferson Hospital Foundation invites you to participate in the 3rd West Jeff Family Festival. Enjoy a classic car show, live music, great food and drinks, WJ Kid Zone, trunk or treat, games, a costume contest and much more!

SPECIALTY AWARDSBest of Show Best Race Car

Best Car Pre 1990Best Car Post 1990Best Truck Pre 1990Best Truck Post 1990

Best BikeBest EngineBest Paint

Best InteriorClub Participation

PLAQUESTop 50

Under ConstructionMileage Furthest Distance

SATURDAY • OCTOBER 20, 2012

Car Registration: 7 to 11 AM Car Show: 11 AM to 3:30 PM

Awards Announced: 4 PM

920 AVE. B - MARREROBEHIND WJ HOSPITAL

Registration Fee: $30 per Vehicle • $20 per BikeDay of Show Registration:$35 per Vehicle • $25 per Bike

Deadline to Pre-Register: October 17, 2012

For Details for a Fun-Filled Saturday Among Car Enthusiasts Call

504.349.1589

See Reverse for Entry Application and Additional Details

Free Admission to the Public

CARSHOW

Sponsored by

“COMBEL’S SPONSOR” AWARD

053112

The Exhibitor hereby applies to the Producer of the custom auto show referred to above to have the vehicle described above displayed therein and agrees that, if the application is accepted, he will display the vehicle at the show under the following terms and conditions:

1. Most shows are necessarily overbooked by 10%. In such cases where space is not available for an entry already accepted to the show, the Producer will have sole authority to deny entrance to vehicles arriving after capacity has been reached. Exhibitors denied access will be refunded any monies paid to the Producer, upon request.

2. The Producer shall have final authority to determine the locations of an Exhibi-tor’s display within the show and the Exhibitor’s compliance with the aforesaid rules, regulations and policies.

3. Once the Exhibitor’s display and/or vehicle are set up in the show, they shall not be removed or concealed by the Exhibitor prior to the end of the show without the permission of the Producer.

4. The Exhibitor agrees (for himself and any individuals under his control during the show) to hereby fully and forever waive, release, and discharge for him-self, his estate, heirs, executors and assigns, both the Producer and the owner of the building and grounds on which the show is produced or any of their respective trustees, officers, administrators, employees, agents, or volunteers from any and all losses, damages, or claims whatsoever, including any and

Please complete below Entry Application. Mail application along with check to:

West Jefferson Hospital Foundation1111 Medical Center Blvd. • Suite N-201

Marrero, LA 70072

Questions? Phone: (504) 349-1589 • Email: wjmcfoundation@yahoo.com

all personal injuries or damages and property damages arising directly or indirectly from participation in the show or show-related activities whether said losses, damages, or claims are caused directly or indirectly, by or related to a known or unknown risk or hazard, and whether they are caused by a negligent act or acts, regardless of the degree of negligence. Exhibitor further acknowl-edges and understands that his participation in the show and related activities is entirely of his own free will and that he has the option of carrying insurance to protect himself and his property from any such losses.

5. No promotion and/or advertising is allowed with entries unless they are ap-pearing in conjunction with paid commercial space. A single sign may be used to identify major modifications, who did them, and what equipment was used, but large ad signs, handbills, or business card distribution is strictly prohibited.

6. In consideration of this entry, the Exhibitor and those persons within Exhibitor’s direction and/or control agree to permit the Producer or its assigns the use of their names and pictures of the entered vehicle for publicity, advertising and commercial purposes (including newspapers, magazines, billboards, radio, in-ternet and television) before, during and after the event, and hereby relinquish any rights whatsoever to any photos taken in connection with the event, and give permission to publish or otherwise dispose of said photographs to Pro-ducer or its assigns.

No tents/canopies allowed in car show area.

Name: _______________________________________ Age (must be at least 18): _________________________________

Phone: ______________________________________ Email: ___________________________________________________

Address: _______________________________________________________________________________________________

City:_________________________________________ State:__________ Zip: _____________________________________

Year of Vehicle: ________________________________________________________________________________________

Make: _________________________________________________________________________________________________

Body Model: ___________________________________________________________________________________________

Color: _________________________________________________________________________________________________

Engine: ________________________________________________________________________________________________

Club Name: ____________________________________________________________________________________________

Signature: ______________________________________________________________________________________________

ENTRY APPLICATION

Because of space limitations, early registration is recommended. You may enter off Avenue B and 10th Street no earlier than 7:00 AM. Please, do not depart before 5 PM.

Make Check Payable To: West Jefferson Hospital FoundationPlease enclose $30 per Vehicle and/or $20 per Bike to enter this event.

Includes a West Jeff Festival Car Show dash plaque.

Total: $_________________