Web viewAntique & Classic Boat Registration Form. Hydroplane and Raceboat Museum, Pacific Northwest Chapter ACBS and APBA Vintage Inboards presents. Lake Chelan

Antique & Classic Boat Registration FormHydroplane and Raceboat Museum, Pacific Northwest Chapter ACBS and APBA Vintage Inboards

presents

Lake Chelan, Washington October 6-7-8, 2017

Skipper/Owner: __________________________________ First Mate: _________________________________ACBS MEMBERSHIP # ____________________(Must be ACBS member to participate)

Address:____________________________________________ City:______________________ State:______ Zip:________Cell: _______________________ Home Phone:______________________Email:_______________________________________________________________________________Boat Entry (check all that apply): In-Water Display ____ Land Display ____ (call for fee info)

Class: Cruiser ____ Runabout ____ Utility ____ Outboard ____ Contemporary Classic ____Boat Name: _______________________________ Manufacturer: _____________________________ Model:____________________________________ Year Built: ___________ Length: _________ Engine Make: ___________________ Cylinders: ______ H.P. ______Insurance Co. and Policy #:_______________________________________________________________

NOTE: BOAT SHOW IS ONE DAY ONLY. Moorage is available Friday thru Monday for Boat Show Participants.

Friday, Oct. 6, 4-7p — Optional Registration & Reception: FREE!! @ Campbells # Attend-ing? _____ $___0____SATURDAY, OCT. 7, 9a-4p — BOAT SHOW: $40.00 due by 9/18/2017 to insure dock availability

$________ ONE-DAY ONLY. NOTE: Boat Registration after Sept. 18, 2017 will be $50.00

Saturday, Oct. 7, Evening — BBQ BASH: $20.00/person # Attending? _____ $________ RSVP by Sept. 18, 2017. Fun, informal, lots of great food and live music!Sunday, Oct. 8, Morning (time TBD) — Optional Breakfast & Poker Run # Attending? _____ $___0____ Breakfast ($ on your own) @ Manson restaurant (Time and location TBD)Make check payable to: HARM (Hydroplane & Raceboat Museum) TOTAL DUE: $ _________

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 8 th

Annual Lake Chelan Mahogany & Merlot Classic Boat and Hydro Show October 6-8, 2017 at the Lake Shore Marina

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. Further, I certify that I currently have effective insurance to cover any damage to my boat, and to cover my liability from any damages to others and their property arising from the use of my boat during this 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 di-rectly 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 others having, or allegedly having, any connection with said Show. It is required that all boat show participants be current ACBS members for show in-surance. Your signature is required with payment to process registration and indicates your acceptance of these hours of the show, and that your boat will be in attendance on Saturday (unless previous arrangements made with event coordinators) and that you will adhere to all rules and regulations of the show as required by HARM and safety officers.

Signed (Skipper)_____________________________________________________________ Date ____________More info at: www.mahoganyandmerlot.com Questions? Call HARM at 206-764-9453 or email in-

[email protected]. Mail completed form & check to: M&M, c/o HARM, 5917 S 196th St, Kent, WA 98032