Drag-ens Valla Rod Run 2017
Official Entry Form

Event details
Drag-ens Hot Rod Club 41st Valla Rod run
Date: 24th to 30th September 2017
Address: 1 Regatta Dr, Valla Beach, NSW 2448

First Name *
Your answer
Last Name *
Your answer
Email Address *
Your answer
Phone Number *
Your answer
Street address *
Your answer
Suburb *
Your answer
State *
Post Code *
Your answer
Club *
Rod Details
Make *
Year *
Body *
Colour *
Your answer
Rego *
NO un-registered vehicles permitted on roadways in the park. If no registration at this stage please put TBA
Your answer
Has the Rod been to Valla before? *
Accommodation Options
Duplex Unit - Linen Service (sleeps 4)..............No Cabins Available
Villa - Single (sleeps 6)......................................No Cabins Available
Villa - Multiple (sleeps 6) ..................................No Cabins Available
Cabin (sleeps 5) ................................................No Cabins Available
Camp Sites - 6 people ..................................... No Cabins Available
Camp Sites - 5 people ......................................No Cabins Available
Camp Sites - 4 people ......................................No Cabins Available
Camp Sites - 3 people ......................................No Cabins Available
Camp Sites - 2 people ......................................No Cabins Available

Maximum one cabin per entrant.

All accommodations, including campsites, must be for a minimum booking from Sunday 24th September to Saturday 30th September (inclusive). Accommodation required before 24th September or after 30th September is to be booked direct through Valla Park Resort (02) 6569 5555 and will only be confirmed by the Resort if it matches the site/sites allocated by The Drag-ens H.R.C. for the run dates.

Accommodation Type *
Terms and Conditions
NO un-registered vehicles permitted on roadways in the park. NO bicycles, scooters or skateboards permitted on roadways during run. The organisers reserve the right to refuse entry to any vehicle deemed unsuitable and park any pre-1948 vehicles during Cruzin the Park.

Entry forms and accommodation costs must be submitted to the Drag‐ens Hot Rod Club Inc before 15th of July 2017.
Should your preferred accommodation be unavailable, you will be informed as soon as possible with alternative accommodation offered or a refund made where applicable. Accommodation is non-transferrable and any alterations must be made through the organisers.

No refunds will be made unless 30 days’ notice of nonattendance is given to the organisers. Payment via cheque or money order payable to the Drag-ens Hot Rod Club Inc. Entries will not be processed until all money is paid.

Entrant Declaration
AS THE UNDERSIGNED ENTRANT, I AGREE TO ABIDE BY THE INSTRUCTIONS OF PARK MANAGEMENT, THE ORGANISERS, THE RULES OF THE RUN AND FURTHERMORE AGREE; THE ORGANISERS WILL NOT BE HELD LIABLE FOR ANY LOSS OR DAMAGE WHATSOEVER, ARISING FROM ANY INCIDENT OR MATTER WHICH INVOLVES MY VEHICLE, FAMILY, GUESTS OR I, BEFORE, DURING OR AFTER THE EVENT. I ALSO AGREE TO THE USE OF MY NAME AND ANY PICTURES FOR PUBLICITY, ADVERTISING AND COMMERCIAL PURPOSES (INCLUDING NEWSPAPERS, MAGAZINES, RADIO, TV AND VIDEO OR ANY OTHER FORM OF MEDIA) BEFORE, DURING AND AFTER THE EVENT. I GIVE PERMISSION TO PUBLISH, SELL OR OTHERWISE DISPOSE OF SAID MATERIAL.

Do you agree with the Terms and Conditions? *
Next
Never submit passwords through Google Forms.
This content is neither created nor endorsed by Google. Report Abuse - Terms of Service - Additional Terms