JCCS® 2022 (1) Kyusha Registration Form

9/10 /2022 Marina Green Park, Long Beach, CA. USA

THIS IS STEP 2:

Please make sure your E-mail address is typed correctly to receive your E-mail confirmation

Personal Information

First Name *

Last Name *

Address 1 *

Address 2 (Apt #)

City *

State *

Postal Code *

Cell Phone *

Email Address (Please make sure you type correctly) *

>> Payment E-mail (only IF different from above (did you use your business name? Type here)

Instagram ID (if you have one)

Facebook ID (if you have one)

Do you have followers more than 5K?

Please email me updates

T-shirt size *

Kyusha Information

Make *

Year (4 digits) *

Model *

Model Number (ex) RA29, TE27, SA22, PL620 etc...

Body Type *

Color *

Engine *

Condition *

License Plate *

SPEC: max 550 characters or about 150 words (⚠️*No paragraph is suggested) to print and fit on your Kyusha ID Card.
*Note - copy & paste from Word files may cause glitches. ("-" mark on top of the each sentence is not suggested) 🛈

0/550 words

Transportation * 🛈

Owner History: How long have you owned this kyusha? *

Is this your DEBUT of THIS kyusha? (not asking for your visitor experience) *

Entry type: *

Kyu-sha Survey

Were you able to enjoy more garage time during 2021?

Tell us what you did or currently working on your Kyusha. Mark multiple if apply.

JCCS Volunteer Sign-up

⭐️JCCS Volunteer Staff wanted! Are you interested in helping to park show-cars in the morning of the show?
If so, you will be invited to a "JCCS Arigatou Meeting" (Mandatory for a first time volunteer) is held for volunteers Sunday Sep.28 2021 at 10am in Long Beach, CA (RSVP email will be sent to you separately)
* 🛈

LIABILITY WAIVER:

In consideration of the right to participate in 17th Annual Japanese Classic Car Show, entrants, by execution of this registration form release and discharge Japanese Classic Car Show Association (JCCSA / JCCS®), its officials, members and staff and City of Long Beach,its officials and members, and anyone else connected with this event from any and all known damages, injuries or judgments and/or claims from any case that may be suffered by an entrant to his person or property. Furthermore, each entrant expressly agrees to indemnify all of the fore mentioned entities, persons and bodies from any and all liability occasioned by or resulting from conduct of entrants or any participant cooperating with or under direct control of entrants.

I have read and agree to all Rules and Conditions governing this event, including the PROHIBITION OF ALCOHOLIC BEVERAGES on the event grounds, inluding the time of releasing vehicles could be 4pm, and 2022 Cancelation Policy with no refund. I agree to observe all rules and decisions of event management.

Any possible photograph or video exposure of my vehicles and acompanies on media publications permitted by any type of attended media is permitted. I understand that this submission of the form does not guarantee my entry until all my entry information is reviewed.

The State of California recommends that when you visit large events such as JCCS®, you be fully vaccinated for COVID-19, obtain a negative COVID-19 test result prior to visiting, or wear a face covering. Guests who are not fully vaccinated should wear a face covering during their visit. Exposure to COVID-19 is an inherent risk in any public location where people are present; we cannot guarantee you will not be exposed during your visit.

I acknowledge that I am at least 18 years of age. *

**** Read and checked

Your signeture *

clear

PHOTO Submission

⚠️Photos of RECENT, COLOR, LANDSCAPE MODE, DAY TIME PHOTOS of your car to complete your registration. - Max size at 5MB each image BUT please try to keep it between 1 to 3MB. (ideal size 500KB to 3MB)

Please check PHOTO GUIDELINE

Tech issues? You can also submit via email to complete the registration. Any incomplete submission will make your registration status as CANCELLED or PENDING.

Email : registration (at) japneseclassiccarshow.com. with your full name.

Photo: *FRONT/FRONT QUARTER *MANDATORY 🛈

Photo: REAR/REAR QUARTER **MANDATORY

Photo: Interior or side shot (optional but you may be requested)

Photo: Engine extra image (Optional)

Your YouTube Link URL or Photo album link or Instagram ID or anything to lead for photos - optional

Air & Fuel	Brakes	Body Paint	Cooling
Dress up parts	Car Care products	Engine & Components	Exhaust
Gauges	Ignitions & Electronics	Interior	Shocks
Sound System	Suspension	Transmission	Wheels & Tires
Custom one-off items	Importing a JDM :)	None, i'm done.	Something else not listed here