100|OCT CLUB - REGISTRATION

MEMBER
Member's Name *
Member's Name
Member's Date of Birth *
Member's Date of Birth
Member's Phone Number *
Member's Phone Number
Member's Address *
Member's Address
GUEST
Guest's Name
Guest's Name
Your "+1" can be added or changed afterward by emailing us.
Guest's Date of Birth
Guest's Date of Birth
Guest's Phone Number
Guest's Phone Number
CAR
TELL US WHAT CAR YOU'RE USUALLY BRINGING TO CAR EVENTS.
MISCELLANEOUS
TERMS AND CONDITIONS
MEMBER HAS CAREFULLY READ THIS AGREEMENT AND FULLY UNDERSTANDS ITS TERMS AND UNDERSTANDS THAT THEY ARE GIVING UP SUBSTANTIAL RIGHTS, INCLUDING THE RIGHT TO SUE. THEY ACKNOWLEDGE THAT THEY ARE ENTERING THIS AGREEMENT FREELY AND VOLUNTARILY, AND INTEND BY THEIR SIGNATURE TO BE A COMPLETE AND UNCONDITIONAL RELEASE OF ALL LIABILITY TO THE GREATEST EXTENT ALLOWED BY LAW. *