Antique & Classic Boat and Vintage Raceboat Registration Form

Antique & Classic Boat and Vintage Raceboat Registration Form

Hydroplane and RaceboatMuseum, Pacific Northwest Chapter ACBS and APBA Vintage Inboardspresents:

7th Annual MahoganyMerlot

A Classic Boat and Raceboat Show on Lake Chelan

October 2 -4 2015

see us on facebook – as MahoganyMerlot

Owner ______Driver ______

Address ______City ______

State _____ Zip ______Phone ______Email ______

VINTAGE UNLIMITED

Years Racing ______Boat Number ______

Boat Name ______Builder ______

Year Built ______Length ______

Engine Make ______Cylinders ______Horsepower

Brief History: ______

______

APBABoat Show Registration Fee - See David Williams

Friday Night’s Reception/Check-in dinner- All food included!!! $10.00 per person $ ______YOU MUST PRE REGISTER TO ATTEND

Friday night Reception is for Inboard, Unlimited and ACBS and their crew

Saturday Night’s Awards Banquet (at Campbell’s Resort) $40.00 each x ______=$ ______Awards Banquet is for Inboard, Unlimited, and ACBS and their crew

Total:Make Checks payable to HARM(Hydroplane & RaceboatMuseum) Total Due $ ______

MAKE SURE YOU PROVIDE US WITH YOUR CREW NAMES SO WE CAN

MAKE THEIR NAME BADGES

Mail completed form to: Chris Courtright PO Box 1284, Chelan, WA 98816

Email: Questions? 206-799-2659

I hereby waive any claim for injury to my person, boat or personal property for damage or loss that may occur due to my participation either personally or through the use of my boat, personal property or equipment in the 7th Annual Lake Chelan Mahogany & Merlot Classic Boat and Hydro Show on September 30 - October 2, 2016 at Lake Chelan City Dock in Chelan Washington. I acknowledge that I am responsible for any family members, guests and/or minors that may accompany me on my vessel or within the restricted areas of the event.

I agree to hold harmless the Hydroplane and Raceboat Museum, City of Chelan and all sponsors, organizers, hosts of said Show, their employees, officers, agents, and volunteer assistants for any injury or loss resulting directly and indirectly from any actions, failure to act, or omissions of said sponsors, organizers, host of said show, their employees, officers agents, and volunteer assistants, or other having, or allegedly having, any connection with said Show. ACBS participants must be current members of ACBS for insurance considerations. Vintage Drivers must be APBA members.

Agreed and accepted:

Owner/Driver ______Date ______

UNLIMITED RACERS MUST ALSO FILL OUT ATTACHED APBA ENTRY FORM