THE NORTHSHORE CORVETTE CLUB’S
ALL CORVETTE CAR SHOW
Saturday, November 18, 2017
(Rain or shine no refunds)
Entry Fee before November 10, 2017: $40.00 for first Corvette,
More than one car $25.00 for each additional Corvette.
Please submit a separate form for each car.
(All cars must be registered to the same owner)
Entry Fee will also include a Picture Plaque and a Dash Plaque which will be given to the first
100 registered cars, you must be present to receive.
Please mail your Completed Registration form to: Northshore Corvette Club, P.O. Box 5673, Slidell, LA 70469-5673
Make checks Payable to: Northshore Corvette Club Check Amount: $____________________
Vehicle Info: Year:_________ Color:_________________ Body Style:______________________________
Club Affiliations:__________________________________ Choose one: Stock Modified Anniversary addition
Are you a Veteran / circle one: yes or no Would you like to volunteer to Judge: __________
RELEASE & WAIVER OF LIABILITY
Your signature on this entry form indicates that you cannot, in any way, hold the Northshore Corvette Club, Holiday Inn officials, members, and/or other Participants liable for any losses and/or damages that occur during this event. In consideration of the acceptance of the right to participate, entrants and participants and spectators agree to hold harmless the said club and its officials from any claim for loss or liability for injury to or death of any person or persons (including the undersigned) or damage to any heirs, executors, administrators, and assigners of the undersigned. Your signature also permits use of your name and pictures for publicity or advertising without remunerations.
Owner’s Signature_____________________________________________________Date:____ _________
9515 Hwy. 49
Gulfport, MS 39503
For Room Reservations: (228) 679-1700 mention; Northshore Corvette Club when you make your reservation
Room Rate: $99.00 + Tax / $115.00 + Tax per night With Breakfast
If you have any questions, call our Car Show Representative, Rose Aucoin, (985) 960-0602