HIGH PLAINS AUTO CLUB 
ROCK ‘N ROLL FATHER’S DAY CLASSIC
YOUR EARLY REGISTRATION IS APPRECIATED!

WELCOME TO GERING, NEBRASKA!

*****FRIDAY – June 16, 2017*****
 BBQ MEAL / PARKING LOT PARTY FOR ENTRANTS ONLY
REGISTRATION OPEN @ 2:00 P.M.
Gering Civic Center – 1050 M St – Gering, NE 69341
$$ CRUISE FOR CASH $$ FOLLOWED BY ICE CREAM SOCIAL 6:00 P.M. – Entrants only 
Pictures will be taken Friday and Saturday A.M. for our slide show presentation!

*****SATURDAY – June 17, 2017*****
DOWNTOWN GERING PARADE @ 9:00 A.M. TO FIVE ROCKS 8:30 A.M. LINE-UP N. 10th St
SHOW AND SHINE @ FIVE ROCKS AMPHITHEATER – 10 A.M. TO 4 P.M.
 GRASS PARKING SITES – LUNCH VENDORS ON SITE – DOOR PRIZES ALL DAY

 *****SATURDAY NIGHT – June 17, 2017 *****
AWARDS BANQUET – GERING CIVIC CENTER – 
Doors open at 5:00 P.M. Meal at 6:00 P.M.

CONTACT:  Mike Reynolds 308-631-6573 – Daryl Wills 970-219-4087

Host Motel: Monument Inn & Suites 308-436-1950 
Scottsbluff / Gering, NE Area Hotels below:  
 Robidoux RV Park 308-436-2046  
  Super 8 – Candlelight Inn – Comfort Inn – Hampton Inn –Arcadia Hotel
Barn-Anew B & B – Lamplighter American Inn–Fairfield Inn	

Eligible for Early Entry bonus drawing if entered by 3/1/17               
Preregistered Entry fee $35.00 (2 people) – All Entries After June 1st $40.00
 Each entry will receive 2 Friday BBQ meals and 2 Saturday Banquet meals. 
– Limited extra meal tickets @ $15.00 each meal - Friday or Saturday Night 
Mail entry forms ASAP to:  High Plains Auto Club P.O. Box 254 Scottsbluff NE  69363-0254
e:mail: fritzzreynolds@yahoo.com                     www.highplainsautoclub.com                          www.visitscottsbluff.com
                                      Details subject to change as necessary   /   printed 01/2017                                               

 ---CUT HERE - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - -  - CUT HERE ---
Name:  _______________________________________________________Miles traveled one-way _________
Mailing address: ____________________________________________________________________________
City: ________________________State_______Zip Code: _______Phone:_____________Cell:____________
Club Affiliation ______________________City: _______________State_____e-mail_____________________
Year: _________Make:_________________Model:___________________________Color: _______________
I understand that a reasonable effort will be made to protect my property, my family and me.  Not every circumstance can be anticipated or prevented; therefore, I agree not to hold any member, official or sponsor of High Plains Auto Club/Rock ‘N Roll Father’s Day Classic liable for damage to my property, or injury to me or injury to any member of my family.  Entrants hereby grant permission to HPAC to use their names, pictures, or pictures of their car for publicity, advertising and commercial purposes before, during and after the event and to relinquish rights to any photos taken in connection with the event.
            ALL ENTRANTS MUST CARRY LIABILITY INSURANCE WITH MINIMUM LIMITS OF $25,000 – $50,000 – $25,000. 

*SIGNATURE REQUIRED: _______________________________________( If under age 18 legal guardian must sign)

CLASSES:  PLEASE CHOOSE THE CLASS THAT BEST DESCRIBES YOUR ENTRY:
Original Intent 1900–1950    			Original Intent 1951–1980			Original Intent 1981–Current		
Modified 1949–1980			Modified 1981–Current   			Trucks		
Street Rods - must be Pre ‘49			Entrant-Age Under 21   			HPAC Club Host Cars