SO U TH EAST N CRS SUMMER MEET
JUNE 17, 2 0 1 7
at “BUYAVETTE”
3762 Dekalb Technology Pkwy
Atlanta, GA 3 0 3 4 0
Name
Spouse/Companion
NCRS #
ST
Address
ZIP_
City
Ph
Email
SCHEDULE OF EVENTS
Saturday 6-17-17
_
☐
Meet Registration (includes spouse or companion)
$25
☐
Non Member Guest Fee (cannot be NCRS member)
No Charge
☐
Raffle tickets # ____price below
$________
☐
Flight Judging Entry (limited space)
$35
☐
Display Car
No Charge
12:30 PM - (approx) - Lunch
☐
Sportsman Display
$25
5:00 PM – (approx) - Awards
☐
Join/Renew SE Chapter
$30
Total
$
8:30 AM – Owner’s meeting
8:45 AM - Judging School
9:45 AM – Judges Meeting
10:00 AM – Judging Begins
☐Judged Car
Year
VIN
Body # (63-67)
☐Sportsman
Coupe
Build Date
Ext Color & Paint Code
Insurance Co._
Trailered miles _____Driven miles ______
Conv
☐Display
Vinyl / Leather
CI
HP_
Interior Color & Trim Code
Policy #
Exp
Current proof of ownership & insurance verification MUST be provided with this registration form and presented at the registration desk as well.
Please attach copies of documentation.
☐Yes I will judge
☐ Ops ☐ Int
☐ Ext
Year(s) preferred
☐ Mech ☐ Chas ☐ OJ ☐Tab
You may register online at https://www.ncrs.org/forums/register/event_subscription.php
Or send paper registrations to:
Janice Mason 318 Peeksville Rd, Locust Grove, GA 30248
Judging questions: Rich Mauser 407-230-2303 [email protected]
NOTE TO JUDGED CAR OWNERS – IT IS PREFERRED THAT CARS BE DELIVERED OR DRIVEN TO BUYAVETTE FRIDAY AFTERNOON PRIOR TO 6PM. TO
FACILITATE OPERATIONS JUDGING. OVERNITE PARKING WILL BE PROVIDED INSIDE THE BUILDING. CONTACT RICH MAUSER FOR DETAILS.
BUYAVETTE is located at 3762 Dekalb Pkwy, Atlanta, GA 30340, just south of the I-285 and I-85 junction
SE NCRS 50/50 Charity Raffle tickets to benefit our Veterans thru the Gary Sinise Foundation – tickets: 1/$10, 4/$30, 5/$40 or 7/$50
HOLD HARMLESS: I AGREE: to insure my property against loss, damage and liability and to provide proof of such insurance to NCRS at the time of registration. I AGREE: to assume risk of any and all damages or injury and to
indemnify and hold harmless NCRS, it’s officers, directors, agents, employees, chapters and event workers for any acts or omissions which may result in the theft, damage or destruction of my property or injury to me or others
occurring during, or as a consequence of this event, wherever located. I AGREE: to abide by the NCRS policy on Drugs and Alcohol (revised 2006). The use of illegal drugs is prohibited by anyone attending any/all NCRS event(s).
The use of alcohol is prohibited by anyone participating in any NCRS event (includes while on the judging field, participating in any driving tests and or road tours etc) except during social events.
Signature:
Date