Participant Registration Form

2017 PARTICIPANT ENTRY FORM
50TH
60TH
85TH
ANNIVERSARY OF THE
Chevrolet Camaro
ANNIVERSARY OF THE
Chevy Tri-Five’s
presented by the American Tri-Five Association
ANNIVERSARY OF THE
1932 Ford
Enter your vehicle NOW for
these 3 special areas!
• $20,000 Super Prize
Package
• Car Show
• Bikefest
• Big Rig Show
• Collector Car Auction
• Autocross
• Pull-A-Part Swap Meet
• Huge Vendor Midway
• Speedway Cruise
• Live Entertainment
• Kids Zone
APRIL 22-23, 2017
ATLANTAMOTORAMA.COM
PARTICIPANT
Chas Sydney
Bruce Wilson
770-797-5309
[email protected]
770-954-1237
[email protected]
Pre-register by March 20, 2017 and pay only $35 per vehicle.
Registration after March 20, 2017 and on-site is $50 per vehicle.
Registration includes: 2 weekend participant passes, one show vehicle pass, autocross entry, speedway cruise entry, eligibility for
all awards* and entrance into the Super Prize Giveaway (participant must be present to win).
*Awards will be “picks” only, chosen by industry personnel, show staff and other VIPs, no points sheets or judging will be done. All
awards will be presented on Sunday. Award winning vehicles must be present.
This year the Summit Racing Equipment Atlanta Motorama will be celebrating the 50th Anniversary of the Chevrolet Camaro,
the 85th Anniversary of the 1932 Ford and the 60th Anniversary of the Chevy Tri-Fives (‘55, ‘56, ‘57) presented by the American
Tri-Five Association. ALL PRE-REGISTERED Camaros, 1932 Fords and Tri-Five Chevy’s have the opportunity to receive reserve
parking in areas for these vehicles. Please check the box below indicating your desire to be parked in either of these locations
☐ Chevrolet Camaro ☐ Tri-Five Chevy ☐ 1932 Ford
RULES: For sale vehicles will not be allowed in the show area.
Golf carts are not permitted on property. Grilling within show area is prohibited.
PA R T I C I P A N T
NAME_________________________________________________________________________________________
ADDRESS____________________________________ CITY_______________________ STATE_______ ZIP_______
PHONE__________________________CELL_____________________EMAIL_______________________________
YEAR_________________MAKE_______________________MODEL______________________________________
☐ REGISTRATION - _____ $35 PRE-REGISTRATION _____ $50 AFTER MARCH 20TH
☐ ADDITIONAL PREMIUM INFIELD PARKING PASS* (limit one per entry) - $15
*For trailer and personal vehicle parking inside the track. Free parking for all
vehicles and trailers will still be provided outside the track.
☐ EXTERIOR CAMPING: ☐ DRY - $35 ☐ HOOK UPS - $100
TOTAL AMOUNT
$____________
☐ ADDITIONAL EVENT TICKETS - _____ $12 per day _____ $20 weekend pass
LIABILITY CLAUSE: Entrants and participants of Atlanta Motorama by execution of this entry form release and discharge Atlanta Motor Speedway, Speedway
Children’s Charities, Speedway Motorsports, Inc. and/or its subsidiaries and affiliates and their shareholders, members, partners, officers, managers, directors,
employees, and agents from any and known or unknown damages, injuries, losses, judgments, and/or claims from any causes whatsoever that may be suffered by
any entrant or participant to person or property. RAIN OR SHINE EVENT. ALL SALES ARE FINAL. NO REFUNDS.
***** CAR CLUB ONLY *****
CAR CLUB
NAME OF CLUB_______________________________
CLUB CONTACT_______________________________
CLUB CONTACT EMAIL_________________________
RULES:
• Club registrations must be submitted together
• Please designate one member to be the contact person from your club
• Entry fees can be submitted individually or by one payment but they must
accompany registration forms
Car Clubs must have five or more cars pre-registered before
March 20, 2017 to receive preferred parking & special club
awards. Clubs will receive the following number of awards for
Club Presidents or Representatives to pick recipients from
among attendees:
• 5-9 cars pre-registered will receive 2 awards
• 10-19 cars pre-registered will receive 3 awards
• 20+ cars pre-registered will receive 4 awards
$500 cash to the club with the most club cars on display in
their designated area at 11am on Sunday, April 23, 2017.
• One form per vehicle
• “For Sale” vehicles will not be allowed in the show area
• Golf carts are not permitted on property
Make checks payable to Atlanta Motor Speedway. Mail all checks and forms to:
Atlanta Motorama • PO Box 2518, Tucker, GA 30085-2518