Open Classes: (Awards for Best in Each Class) Rods : Pre 1948, 1949-1972 Classic: Pre 1948, 1949-1972 1973 & up Original (Minimal Changes): Pre 1948, 1949-1972, 1973 & up Modified/Custom (Numerous or Extensive Changes): Pre 1948, 1949-1972, 1973 & up Wash/Shine & Vacuum (Exterior/Interior Judging Only): Pre 1948, 1949-1972, 1973 & up (Classics Only) September 23, 2012 10:00 am to 3:00 pm Registration starts at 8:30 am to 11:30am Chinese Auction Food / Drinks Music Pre-Registration - post marked by September 7, 2012 is $30, ($35 day of show) ______ @$30 Number of Guest for Welcome Party Buffet ($18 per Person) ________ @ $18 each Number of Guest for Golf ($48 per person) _______ @ $48 each First 150 pre-registered cars will receive a Dash Plaque and goodie Bag. Total enclosed = $_________ = $_________ = $_________ = $_________ Entrants and participants, by execution of this entry form, release and discharge the City of Palm Beach Gardens, PGA National Resort & Spa, Gold Coast Corvette Club, their officers, directors, employees, agents, representatives, and servants from any and all known or unknown damages, injuries, losses, judgments and/or claims from any cause whatsoever that may be suffered by any entrant or participant to person or property. Signature: Date: _________________________________ ________________ Print Name: _____________________________ Address: ____________________________________ City: ____________________________ Zip Code: ________________ Phone: __________________________ E-Mail: ___________________________________________________ Vehicle Year: ________ Color: ___________ Coupe: _______ Convertible: _______ ClubAffiliation: __________________________________ Class: Original: _______ Modified / Custom: _________ Wash / Shine & Vacuum: _______ Rods: _________ Classic: _________ Corvette Classes: (Awards for Best in Each Class) Original (Minimal Changes): 1953-62 1963-67 1968-82 1984-96 1997-2004 2005-2012 Modified/Custom (Numerous or Extensive Change): 1953-62 1963-67 1968-82 1984-96 1997-2004 2005-2012 Wash/Shine & Vacuum (Exterior/Interior Judging Only): 1953-62 1963-67 1968-82 1984-96 1997-2004 2005-2012 Make checks Payable to: Mail to : Attn: Jim Campbell, 5 Sheldrake Lane, Palm Beach Gardens, FL 33418 For more information, please contact Jim Campbell, President (281) 330-5223 or email at [email protected] Web Site: www.goldcoastcorvetteclub.com Gold Coast Corvette Club Gold Coast Corvette & Open Car Show Host Hotel: PGA National Resort & Spa 400 Avenue of the Champions Palm Beach Gardens, FL 33418 Phone: (800) 633-9150 $129 Room Rate +Tax Resort Fee ($25) waived (Please mention the “Gold Coast Corvette Club” to receive the discount rate) www.pgaresort.com (RAIN OR SHINE) Awards Best of Each Class Best of Show Corvette Best of Show Rod / Classic, Club Participation ($100.00) - Corvettes (Min. 10 cars) Club Participation ($100.00) - Rods / Classic (Min. 10 cars) Welcome Party - Buffet At the Wave PGA National Resort & Spa Saturday, September 22, 2012 From 6:00 pm to 8:00 pm $18 /person pre-registered $30 /person at the Door Music by “Michele Lynn” Golf Challenge - 18 Holes PGA National Resort & Spa Saturday, September 22, 2012 12:00 pm (noon) $48.00 per person inclusive of cart, green fees and taxes. Door Prizes 50/50 Drawing (Supports “Hospice of Palm Beach County” Charity)